Register Youth to Volunteer at VCS Questions? Contact Jen King at 412.441.3800 x222 or JenK@coh.net VCS Youth Volunteer Form 2025 Step 1 of 3 33% Youth Volunteer InformationFor youth under the age of 18.Name* First Last Preferred Pronouns (she/her, he/him, they/them)*Email What's the best phone number to reach you?*Address* Street Address Address Line 2 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 What's your age?*Please enter a number from 10 to 17.What's your date of birth?* Month Day Year What grade did you most recently complete in school?*Please enter a number from 5 to 12.How will youth get to and from VCS each day?*Please list the names of people who are authorized to pick youth up.Who is your emergency contact?* First Last What is the best phone number to reach your emergency contact?*Do you have any special needs or allergies? If so, please list them. Volunteer PreferencesHow do you prefer to receive information?* Email Postal service I would like to volunteer with age group: Select All Preschool Kindergarten Grade 1 Grade 1 Grade 3 Grade 4–5 What are your activities of interest? Worship Teaching Teacher assistant Recreation Music Crafts Snacks Afternoon activities Wherever needed What days are you available?* Monday, June 23 Tuesday, June 24 Wednesday, June 25 Thursday, June 26 Friday, June 27 What hours are you available?* All day 8 am–12 pm 12–3:30 pm Youth Volunteer Permission SlipTo be completed by a parent or guardianPhoto Consent I give East Liberty Presbyterian Church permission to use photos of the student listed on this form and to put the finished photos to any use (newsletter, bulletin boards, website) without limitations or reservation.In Case of Emergency I understand that every effort will be made to contact me. If I cannot be reached, I hereby give the East Liberty Presbyterian Church Vacation Church School Workers the permission to act on my behalf in seeking emergency treatment for my child in the event that such treatment is deemed necessary by the Vacation Church School (VCS) workers. I give permission for those administering emergency treatment to do so, using those measures deemed necessary. I absolve the VCS workers and East Liberty Presbyterian Church from liability in acting on my behalf in this regard so long as the VCS workers are not grossly negligent.Parent or Guardian Name who is giving permission First Last Parent or Guardian's Email* Parent or Guardian Cell NumberParent or Guardian Work Phone NumberParent or Guardian Home Phone NumberSecond Parent or Guardian Name (optional) First Last Second Parent or Guardian Best Contact Number (optional)CAPTCHANameThis field is for validation purposes and should be left unchanged.
