VBS Minor Volunteer Registration

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Parish REQUIRED Please fill out this field. Please enter valid data.

Home Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Primary Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Secondary Phone Number Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Youth Entering Grade REQUIRED Please fill out this field. Please enter valid data.

Please check each box, if you agree: REQUIRED I am willing and able to commit to serving the youth and families of the Spokane Valley Catholic Parishes by preparing for and attending the meetings/events I agree to help with. I am willing and able to complete a background check (if I haven't already), receive training and guidance, and check in with the Director of Faith Formation with any concerns. I am willing and able to follow all rules, policies, and practices that protect our children, express our faith and virtue, and build up the Church, including its teachings, rules about safety, confidentiality, and protection. Please fill out this field.

PLEASE INDICATE THE POSITION/STATION IN WHICH YOU ARE INTERESTED IN SERVING:

If you are a youth in grades 7-12 or college age, please have a parent sign this form and fill out the medical release form at the bottom of this page as well.

I give permission for my youth to volunteer.

I Agree Please select this field.

Parent Signature REQUIRED Please fill out this field. Please enter valid data.

Date REQUIRED Please fill out this field. Please enter a date.

I will allow my child's photo to be put on the parish website. REQUIRED Yes No Please fill out this field.

MEDICAL RELEASE FORM

for parents of youth under 21 to complete

Name of Event: VBS 2026 - Rainforest Falls

Monday - Friday, July 20 - 24, 2026, 9:00am-1:00pm, Friday 30-minute parent program ends at 1:00pm at St. Joseph Catholic Church, 4521 N. Arden Rd. Otis Orchards, WA 99027

I (we) the undersigned parent(s) or guardian(s) of:

Name of Minor REQUIRED Please fill out this field. Please enter valid data.

Do hereby authorize adult staff and volunteers of St. Joseph Catholic Church, St. Mary Catholic Church, St. John Vianney Catholic Church and St. Paschal Catholic Church as agent(s) for the undersigned, to consent to any medical or surgical care deemed advisable by any accredited physician or surgeon in an approved emergency clinic or hospital. I further release from any liability of St. Joseph Catholic Church, St. Mary Catholic Church, St. John Vianney Catholic Church and St. Paschal Catholic Church, any of its ministries or leaders in the event of an accident in route, during and returning from the above-mentioned event. This agreement does not apply to claims of intentional misconduct or gross negligence.

Date Signed REQUIRED Please fill out this field. Please enter a date.

Parent/Legal Guardian Signature REQUIRED Please fill out this field. Please enter valid data.

Health Insurance Company REQUIRED Please fill out this field. Please enter valid data.

Doctor Name (Optional) Please enter valid data.

If parent/legal guardian is not available in an emergency contact:

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Please list any allergies and indicate severity: REQUIRED Please fill out this field.

If your child has a food allergy, will you be providing an alternate snack? REQUIRED Yes No My Child Does Not Have a Food Allergy Please fill out this field.

Does your child have any medical conditions or special needs, including medication currently being used? REQUIRED Please fill out this field.

Birthdate of those 7th-12th Grade REQUIRED Please fill out this field. Please enter valid data.

Year of Last Tetanus Shot REQUIRED Please fill out this field. Please enter valid data.

St. Joseph Catholic Parish

4521 Arden Road, Otis Orchards, WA 99027
Phone: 509-926-7133

Monday - Thursday | 8:30am - 4:30pm
Friday | 8:30am - 1:30pm

VBS Minor Volunteer Registration

Vacation Bible School 2026

VBS Minor Registration Form (7th Grade - Under 21)

I give permission for my youth to volunteer.

MEDICAL RELEASE FORM