Volunteer for Hero Hotline - 2023 Vacation Bible School Volunteer Name(Required) First Last Nickname The full first name/given name and last/family of the individual who will volunteer at VBSVolunteer Preferred Pronouns Volunteer Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Volunteer Preferred Email Address(Required) Enter Email Confirm Email Emergency Contact Name (available during VBS)(Required) First Last Relationship to Participant Emergency Contact Phone Number (during VBS hours)(Required)Volunteer Age(Required)16-1818-2525+Home Congregation(Required)Covenant UMCShorter AMECUnion Community ChurchOther CongregationNot affiliated with a congregation and would be open to learning about these congregationsNot affiliated with a congregation and I don't want more infoI am available to volunteer(Required) To prepare supplies for VBS Sunday, July 9 (1-4 pm) Monday, July 10 (5-8:30 pm) Tuesday, July 11 (5-8:30 pm) Wednesday, July 12 (5-8:30 pm) Thursday, July 13 (5-8:30 pm) Select AllI am comfortable volunteering with(Required) Preschool Elementary Crafts Elementary Science Elementary Games/Recreation Elementary Bible Stories Youth/ Young Adult Adult Music Meals Whole Group Assembly Preparation of supplies Other Consent(Required) I can obtain PA State Volunteer Clearances prior to Vacation Bible School (or already have them on file with Covenant UMC or Shorter AMEC)By checking this box, you believe you will be able to obtain your PA Child Abuse Clearance and Pennsylvania Access to Criminal History (PATCH) prior to the beginning of Vacation Bible School or that you already have these clearances on file with Covenatn UMC or Shorter AMEC. Please note that the VBS Co-Coordinators will assist you with this process, if needed.Consent Medical service consentI grant permission for staff or volunteers to contact emergency medical services in the event of a medical emergency. Consent Photo/video OPT OUTI understand that Shorter AMEC is a public place and that there will be parents, guardians, staff members, and volunteers taking photographs and videos. Please check this box if you want to OPT OUT of having the above participant included in photographs used by Covenant UMC or Shorter AMEC for their website, social media, newsletters or other ministry related materials. Please note, children's name will never be used with the photos. If you check this box, the participant's face will not be used in photos or video.Does the volunteer have any allergies, limitations, disabilities, or conditions that Covenant UMC or Shorter AMEC staff should be aware of to support them during the VBS experience? Should this individual's participation be limited for any reason? Is there any additional information about this participant the VBS leaders should know? If so, please explain. Δ
