This form is to register as a volunteer for the VBS Program

* Indicates Required Fields 

*This Registration is for:

  June 9th - June 13th -  VBS

Volunteer's Name

*Street Address

*City

*US State

*Zip Code

*Home or Work Phone

Cell Phone Number

Pager Number

*Email Address

*Grade Interested in Volunteering

Preschool Kindergarten First Grade Second Grade Third Grade Fourth Grade Fifth Grade

Do you attend our church?

Yes     No

Comments or Additional Information

How did you hear about our VBS?

Newspaper  Friend  Mailing
Door Hanger  Church Sign
Other (please specify)