2019 VBS - Youth Registration
University Carillon • June 10-14 • 9am-noon

Please complete one registration for each Youth Counselor. To be filled out with/by parent/guardian.

*Please use Firefox, Chrome or Safari.  If you have any technical questions, please contact web@ucumc.net.

YOUTH INFO


AREAS TO VOLUNTEER

*Placement of volunteer positions are not guaranteed but will be considered.

 



PARENT/GUARDIAN INFO
**used for communication and confirmation emails - check for typos**


ADDRESS


YOUTH MEDICAL INFO


*PHOTO/VIDEO RELEASE

For privacy and safety, we will not publish names with photographs/videos.
I authorize the use/release of photographs and/or videos that include the INDIVIDUALS NAMED ABOVE for University Carillon use, in print and electronic materials (worship videos, e-mail blasts, church website, Facebook, etc.).



*RELEASE

Submitting this on-line form will be the equivalent of signing a paper registration form.

  • I have read and understand the above information. The information I have given University Carillon is accurate and true to the best of my knowledge.
  • My electronic signature signifies my understanding that submitting this online form will be the equivalent of signing a paper registration form.

 



When this form is processed, you will receive a confirmation email. Thank you!