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
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First Name
Middle Name
Last Name
Student's Date of Birth
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Month
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Day
Year
Date
Student's Gender
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Male
Female
Grade Entering in Fall 2025
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Grade 9
Grade 10
Grade 11
Grade 12
Parish/School/Organization you are affiliated with
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Immaculate Conception Parish
St Patrick Parish
St Patrick School
University Parish Newman Center
St John Neumann Parish
St Joseph School
Other
Days available to help
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Monday
Tuesday
Wednesday
Thursday
Friday
Student's T-Shirt Size
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Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Mother/Guardian Name
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First Name
Last Name
Maiden Name
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Email
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example@example.com
Father/Guardian Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Family Address
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Street Address
Street Address Line 2
City
State / 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 Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
In the event reasonable attempts to contact me have been unsuccessful:
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I GIVE my consent for the transfer of my child to any hospital that is accessible and the administration of any treatment deemed necessary by the attending physician.This authorization does not cover major surgery unless in the medical opinion of two other licensed physicians or dentists such surgery is absolutely necessary and these opinions are obtained prior to the performance of surgery
I DO NOT GIVE my consent to emergency medical treatment. Describe desired action to be taken:
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:
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I GIVE permission for my child's name or image to be included in publicity releases about parish events in the bulletin, parish website, parish Facebook page, and local or diocesan newspaper.
DO NOT use my child’s name or image in public media.
I hereby authorize the parish/group to communicate directly with my child, or indirectly through me, via:
Cell Phone Text
Cell Phone Call
Social Media
Email (including Flocknote)
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.
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Date
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Month
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Day
Year
Date
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