5th-6th Junior Sign Up Sacred Heart Summer Fun Days

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* 1. Junior Volunteer's Name

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* 2. Please List Address

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* 3. Please List Contact Information: Phone & Email

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* 4. Have you been a participant in Sacred Heart's VBS?

Yes

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* 5. Are you available to attend Sacred Heart Summer Days each day, Mon.-Fri. June 21-25, 5:30 pm-8:15pm? (You will help set up and clean up)

Yes

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* 6. If you chose 'No' in the previous question, please tell us which days you are not available.

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* 7. Please Type your Name for a Signature saying you will:

-Work hard to develop and perform the daily skits
-Do my share to assist with snacks and to help out when needed
-Be polite and cooperate during all times

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* 8. SACRED HEART PARISH will not photograph, videotape, voicetape, or include individuals in social media posts in its programs without consent. This form allows you to give permission for your child/children to be photographed, videotaped, voicetaped and/or included in social media posts by parish personnel and/or area news reporters. Photographs, videotapes, voicetapes and/or included in parish social media posts when consented to, will only be used for the purposes you specify below. (Please check the appropriate box.)

I hereby give permission for the personnel of Sacred Heart Parish to photograph, videotape, voice tape, and/or include my child/children in social media posts (or allow area news reporters to do the same.)

I hereby DO NOT give permission for the personnel of Sacred Heart Parish to photograph, videotape, voice tape and/or include my child/children in social media posts (or allow area news reporters to do the same.)

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* 9. Medical Treatment Authorization (please check box)

As a parent/guardian, I do hereby authorize the treatment by a qualified and licensed physician of any condition, which in the opinion of the physician, is deemed necessary and appropriate. This authority is granted only after a reasonable effort has been made to reach me.

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* 10. Parent Signature (please type name) and Phone number

5th-6th Junior Sign Up Sacred Heart Summer Fun Days

Question Title

* 1. Junior Volunteer's Name

Question Title

* 2. Please List Address

Question Title

* 3. Please List Contact Information: Phone & Email

Question Title

* 4. Have you been a participant in Sacred Heart's VBS?

Question Title

* 5. Are you available to attend Sacred Heart Summer Days each day, Mon.-Fri. June 21-25, 5:30 pm-8:15pm? (You will help set up and clean up)

Question Title

* 6. If you chose 'No' in the previous question, please tell us which days you are not available.

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* 7. Please Type your Name for a Signature saying you will:-Work hard to develop and perform the daily skits-Do my share to assist with snacks and to help out when needed-Be polite and cooperate during all times

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Question Title

* 9. Medical Treatment Authorization (please check box)

Question Title

* 10. Parent Signature (please type name) and Phone number

* 7. Please Type your Name for a Signature saying you will:

-Work hard to develop and perform the daily skits
-Do my share to assist with snacks and to help out when needed
-Be polite and cooperate during all times