* * * * * * *   YOUR EXPERIENCE   * * * * * *
List any previous experience you have had with VBS at St Joseph, including the year and the job you were assigned. For example: 2012—Crew Helper

* * * * * * *    HEALTH INFORMATION   * * * * * * * 
Do you have any diagnosed medical conditions or learning disabilities or allergies? Please be specific.

* * * * * * *    PARAGRAPH REFLECTION   * * * * * * *  
Please write a 2-3 sentence paragraph explaining why you would like to be a Youth Helper.  Be specific and include any experience or abilities you have that would make you successful as a Youth Helper at VBS.

* * * * * * *    REFERENCES   * * * * * * * 
A Personal Reference is someone who has observed you performing the tasks, or showing the qualities, of a youth helper.  For Example—provide the name of a family for whom you babysit frequently.  Please list 3 personal references.  For each Personal Reference please provide a name, email address, relationship to you, and phone number.   You cannot use your immediate family as a personal reference.  
 

* * * * * *   YOUR PREFERENCES   * * * * * *
Please list what station or role you would like to be assigned to in VBS.  Please see the list below of stations & roles in VBS for Youth Helpers. List them in order of your preference (1st, 2nd, 3rd, etc). We cannot guarantee your 1st choice but we will do our best.

Crew Helper  - A crew helper leads a group of students through their daily schedule of VBS Stations.  Please note which age group you’d like to be a helper for.
Snacks Station - Help run the snacks station and help with responsibilities.
Bible Story Station - Help the teacher with the Bible Lesson for the day.  You need to be willing to lead groups in lessons when needed.  Need to be a self motivated person for this role.
Games Station - Help with the responsibilities for the games station.
Science/Craft Station - Help with the responsibilities of this station and be helpful with guiding the students through the craft or science project.
Assembly Skits Team - Needs to be a teen who loves drama!  You will have parts to memorize and prepare for each day.  There will be practice sessions outside of the regularly scheduled VBS day.  Must be reliable!
Music Station - Needs to be a teen who loves drama and loves to belt out a song nice and loud!  You will have songs and motions to memorize.  There will be practice sessions a couple weeks prior to VBS week.  (This role is only open to high school Sophomores and older)
Nursery Helper - Needs to be a teen that is experienced with caring for very young children.  Needs to be reliable and responsible.
 

* * * * * *   ASSIGNED WITH OTHERS   * * * * * * 
Please list the names of any other youth helpers that you would like to be paired with.  We cannot guarantee you will be assigned with them but we will do our best.

Emergency Contact

(Please list someone other than yourself here.)

Media Release—

By marking the Media Release option on this VBS registration, I/we authorize that photographic images, video images or audio recordings can be taken of my child/ren, listed above on this registration form, as a participant in Vacation Bible School (hereafter VBS).  These photographic images, video images and/or audio recordings for use within the parish and VBS in regards to publicizing or promoting VBS within the parish community.  St Joseph parish is not authorized to sell or otherwise distribute these images or recordings to any other person or entity without my/our consent.  I/we understand that St Joseph parish may associate the images or recordings with the first name only of the individual and the name of St Joseph parish or school.  I/we acknowledge and agree that neither I nor the individual, if a minor,  has or shall have any ownership interest in any information or advertising material which utilizes, incorporates or consists of the images or recordings or in any copyright embodied therein.

Parish affiliation:  St Joseph Catholic Church 555 St Joseph Lane, Manchester, MO 63021