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St. John the Evangelist Vacation Bible School - 2014 YOUTH
VOLUNTEER Registration & Emergency Contact Form
Please send this form to the Religious Education Office, the
Rectory, or Jeanne Salvado
1612 Gridley Lane Silver Spring, MD 20902
Or Email to: jmonti3@yahoo.com
YOUTH VOLUNTEERS NEEDED for
SJE Vacation Bible School 2014!
Monday July 21 Friday July 25, 2014 9 a.m. 12:15 p.m.
At St. John the Evangelist School 10201 Woodland Drive, Silver
Spring, MD 20902
Volunteer to assist classroom teachers (grades preK-4), nursery,
music, crafts, science, games, snacks and more!
Must be a rising 5th grader or older.
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St. John the Evangelist Vacation Bible School - 2014 YOUTH
VOLUNTEER Registration & Emergency Contact Form
Please send this form to the Religious Education Office, the
Rectory, or Jeanne Salvado
1612 Gridley Lane Silver Spring, MD 20902
Or Email to: jmonti3@yahoo.com
VBS Monday July 21 Friday July 25, 2014 Please sign up online:
www.SignUpGenius.com/go/8050A4FA8AC23A20-youth2 Youth Volunteers
Name (Last, First) Date of Birth Grade Fall of 14
Parent/Guardians Name (s) (Last, First) Parent Email
Home Phone Work Phone Cell
Address City State/Zip
Emergency Contact (Other than a parent) Relationship
Home Phone Work Phone Cell
Health Information - Please describe any allergies, dietary or
health concerns your child has, and how the condition is handled:
Authorization of Emergency Medical Treatment Should a medical
emergency arise during my childs participation in St. Johns
Vacation Bible School, I understand that reasonable efforts will be
made to contact me or my emergency contact person at the phone
number(s) listed above. If it is believed that my childs life or
health may be adversely affected by the delay that an attempt to
contact me or my emergency contact would cause, I consent to the
administration of medical treatment deemed necessary by the medical
doctor and/or medical facility and the immediate administration of
life sustaining measures deemed necessary under the circumstances.
Signature of parent Date Photograph Consent Do you give consent for
your children to be photographed during VBS? Photos will be shown
at closing program and may be used on the St. Johns website or
publicity materials. YES c NO c Signature of parent
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St. John the Evangelist Vacation Bible School - 2014 YOUTH
VOLUNTEER Registration & Emergency Contact Form
Please send this form to the Religious Education Office, the
Rectory, or Jeanne Salvado
1612 Gridley Lane Silver Spring, MD 20902
Or Email to: jmonti3@yahoo.com