Teen (under age 18) Volunteer Application for Vacation Bible School 2021

Teens (under age 18) Volunteer Application: Vacation BIble School 2021

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Primary Phone*
Primary Email*
Mother's Name
First Last
Father's Name
First Last
Parent's Phone*
Parent's Email*
Emergency Contact Name*
First Last
Emergency Contact Phone*
Relationship to Emergency Contact*
Parish*
Last Grade Completed*
Do you have any allergies or other medical conditions that we should be aware of?
If yes, please list allergies or medical conditions below.
Comments
Photo Consent (Under Age 18)*
By clicking "My legal parent or guardian consents," I acknowledge that I have reviewed this information with one (1) of the above listed parents/guardians, and they grant their the permission as my legal a parent or guardian to allow SS. Isidore and Maria Parish and the Archdiocese of Hartford, its employees, agents and volunteers to record images of me through the means of interviews, digital and analog photography, digital and analog videotape, digital audio, audiotape, motion picture or digital imaging, and any other later developed mediums which result in the permanent documentation of my image and likeness, for use in print and digital (audio and/or video) form, including (but not limited to) the parish website, enewsletter, bulletin, social media platforms and podcast. I agree that a copy of this authorization will be as valid as the original. I understand that a parent or legal guardian may revoke this authorization at any time by notifying the Director of Communications, SS. Isidore and Maria Parish, in writing, but if I do it won’t have any effect on actions the parish took before it received the revocation.
My legal parent or guardian consents
Consent*
By selecting the "I Accept" button, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your
manual signature on this application, and that all the information submitted is true and factual.
I Accept