Clone of YOUTH CREW VBS Registration Form 2025

Vacation Bible School -June 22- June 26, 2026 Preteen Helpers and Teen Crew Leader Registration Form

Rainforest Falls Vacation Bible School is open to all children entering Kindergarten through 5th Grade. VBS will be held from 9:00am to 12:30pm daily, followed by a family picnic on the last day. Preteen and Teen volunteers (entering grades 6-12) are needed to assist with Crews and Stations. Please register here if your child is interested in being a VBS volunteer. VBS will be held at the University Parish Newman Center located at 1424 Horning Rd, Kent, OH 44240. Please contact Jamie Schall, DRE with questions at 330-673-5849 or jschall@youngstowndiocese.org.
Student's Full Name

First NameMiddle NameLast Name
Student's Date of Birth

MonthDayYear
Date
Student's Gender
Grade Entering in Fall 2026
Parish/School/Organization you are affiliated with

Other
Days available to help
Student's T-Shirt Size
Mother/Guardian Name

First NameLast NameMaiden Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Father/Guardian Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Family Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Additional Number in Case of Emergency (Cell, Work, Etc.)
Please enter a valid phone number.Format: (000) 000-0000.
Alternate Emergency Contact (In case a parent cannot be reached)

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
In the event reasonable attempts to contact me have been unsuccessful:
Medical or Special Concerns

Please indicate any information that would be helpful in the case of an accident or an emergency. Include any allergies, physical impairments and/or medication your child takes on a regular basis. Also use this area to give any information of which you would like your child’s instructor to be aware. Attach an extra page if necessary.
Permission For Name And/Or Image Use
Please Indicate Below:
I hereby authorize the parish/group to communicate directly with my child, or indirectly through me, via:
Please list Phone #, Social Media Accounts and/or Email approved to use:
I, the parent/guardian of the above named child, who is less than nineteen years of age, grant permission for my daughter/son to participate in the Vacation Bible School at University Parish Newman Center Monday, June 23, 2025 – Thursday, June 26, 2025. By allowing my child to participate in the said program, I hereby assume all risk of accident or harm arising or growing out of, directly or indirectly, any incident of any kind occurring during the course of such program to my child and do hereby release and discharge the Bishop of the Diocese of Youngstown, and parish/school/organization, and the agents, associates, and employees of the Bishop and parish/school who have organized or participated in the supervision of such program from all claims, demands, suits, causes or actions, rights, costs, expenses, and any compensations whatsoever which may occur to my family and its members during or resulting from participating in the program mentioned.
Date

MonthDayYear
Date
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Vacation Bible School -June 22- June 26, 2026 Preteen Helpers and Teen Crew Leader Registration Form

Medical or Special Concerns

Permission For Name And/Or Image Use