2025 Volunteer Vacation Bible School Registration Form

Welcome to VBS 2025!

This year, Faith Lutheran Church will be partnering with Lutherdale Camp to host VBS!

June 23-27, 2025
Kindergarten-6th Grade 9a - 3p Monday - Thursday; 9a - 1p Friday
Preschool 9a - 12:30p Monday - Thursday; 9a - 1p Friday (children must be potty trained)
$100 for Full Day / $40 for Half Day

Registration Opens February 1 for members and March 1 for the Community.

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To help this week be a success, we need volunteers in a multitude of areas! Including:

- Be a leader with a group of kids during the week of VBS; either elementary school or 3s/PreK/K

- Be a back up leader with a group of kids in case another leader is sick the week of

- Help with crafts or games in the morning (before noon)
- Help with crafts in the afternoon (after noon)

- Provide housing for Lutherdale staff

- Provide dinner for Lutherdale Staff

- Provide an evening activity space for Lutherdale Staff

- Provide lunch for Volunteers during week of programming

- Set up / clean up lunch for Volunteers during week of programming (morning/early afternoon)

- Provide snack for campers during week of programming

- Help set up / clean up snack for camp (morning)

- Be a junior counselor (rising 6-8th grade)

- Be a VBS nurse & Quiet Space leader throughout the week
- help facilitate Tie Dye Tuesday (all day)
- help dye extra Tie Dye shirts (end of the day on Tuesday)
- wash Tie Dye Tuesday shirts (done by Thursday morning)

To sign up to volunteer, please use this form.

If you have any questions, please email Deacon Kayla at kfeil@faithonline.org.

Volunteer Genral Information

Name (first and last)

Birthdate

Gender Male Female Non-binary

Volunteer congregation and city

Permanent Address (street, city, state, and postal code)

T-Shirt Size (Adult Unisex)

XS S M L XL XXL Other

If you picked other for T-Shirt size, write the size below

If you picked other, please list below

Is this volunteer under the age of 17? If so, additional information is required

Yes No, I have more volunteers to register No, I'm finished registering

Health Information for Volunteers (17 and under- required)

Health Information for Volunteer One

Does your volunteer have any health conditions we should be aware of? Ye No

Please give approximate dates for the above conditions or elaborate on the "other" option

Please check boxes below if your volunteer's immunizations are current or up to date. COVID-19 Polio Immunization COVID-19 Booster TD (tetanus/diphtheria) DPT Permanent Shots MMR (measles, Mumps, Rubella)

Tetanus Booster Dates

Hepatitis B Tuberculosis Test Positive Negative

Does your volunteer have any activity restrictions due to health conditions? If yes, please explain below.

Suggestions that may make the volunteer's experience at VBS successful and enjoyable (fears, anxieties, current family situations, etc)

Does your volunteer have any allergies? Please list below. Include environmental, food, and medicine allergies.

Will your volunteer be bringing any medications to VBS? If so please list name of medication(s), dose and time(s) given below.

I have to register more volunteers.

Yes No, I'm done registering

Volunteer Two Information

Volunteer name (first and last)

Birthdate

Grade completed as of June

Volunteer Congregation & City

Adult Uni-Sex T Shirt Size XS S M L XL XXL Other

If you picked other for T-Shirt size, write the size below

If you picked other, please list below

Is this volunteer 17 years old or younger? If so additional information is required. Yes No, I have more volunteers to register No, I'm done registering

Health information for Volunteer 2 (17 years old and under)

Does your volunteer have any health conditions we should be aware of? Yes No

Please give approximate dates for the above conditions or elaborate on the "other" option

Tetanus Booster Dates

Hepatitis B Tuberculosis Test Positive Negative

Does your volunteer have any chronic or recurring illnesses or medical conditions that may impact their time at VBS? If so, please explain below.

Does your volunteer have any activity restrictions due to health conditions? If yes, please explain below.

Suggestions that may make the volunteer's experience at VBS successful and enjoyable (fears, anxieties, current family situations, etc)

Does your volunteer have any allergies? Please list below. Include environmental, food, and medicine allergies.

Will your camper be bringing any medications to VBS? If so please list name of medication(s), dose and time(s) given below.

I have more volunteers to register. Yes No

Volunteer Three Information

Volunteer Name (first and last)

Birth Date

Gender Male Female Non-Binary

Volunteer Congregation & City

Permanent Address (Street, City, State, & Postal Code)

Adult Uni-Sex T-Shirts XS S M L XL XXL Other

If you picked other, what Size?

If other, please list below

Is the volunteer above under 17 years old? If so, more information is needed Yes No, I'm done registering volunteers

Health Information for Volunteer 3 (17 years old & under)

Does your volunteer have any health conditions we should be aware of? Yes No

Please give approximate dates for the above conditions or elaborate on the "other" option

Tetanus Booster Dates

Hepatitis B Tuberculosis Test Positive Negative

Does your volunteer have any chronic or recurring illnesses or medical conditions that may impact their time at VBS? If so, please explain below.

Does your volunteer have any activity restrictions due to health conditions? If yes, please explain below.

Suggestions that may make the volunteer's experience at VBS successful and enjoyable (fears, anxieties, current family situations, etc)

Does your volunteer have any allergies? Please list below. Include environmental, food, and medicine allergies.

Will your volunteer be bringing any medications to VBS? If so please list name of medication(s), dose and time(s) given below.

VBS Information for students 17 years old and under

This is needed for volunteers under the age 17 - please skip if this does not apply to any volunteers registered above.

Only the following adults (18 years of age) are authorized to sign out and pick up my camper/volunteer(s) from VBS. Include yourself, if applicable. Campers will not only be released to authorized adults listed below. Please include three adults. Please list first and last names, relationship to camper(s) and phone numbers

Will your camper(s) need to be picked up early? If yes, please list dates and times

Will your camper(s) return to VBS after being picked up early? If yes, please list dates and times below.

The following adults are NOT allowed to pick up my camper(s)

Guardian 1 Name (First, Last)

Gender Female Male Non-binary Prefer not to say

Participant Lives with Guardian 1 Yes No

Relationship to Participant

Permanent Address (Street, City, State & Postal Code)

Home Phone

Cell Phone

Work Phone

Email address

I want to be added to Lutherdale's mailing list (spring & fall newsletter, summer camp info) Yes No

I want to receive monthly email updates on current programs & events at Lutherdale Yes No

Guardian 2 Name (First, Last)

Gender Male Female Non-binary Prefer not to say

Participant Lives with Guardian 2 Yes No

Relationship to Participant

Permanent Address (Street, City, State & Postal Code)

Home phone

Cell phone

Wok phone

I want to be added to Lutherdale's mailing list (spring & fall newsletter, summer camp info) Yes No

I want to receive monthly email updates on current programs & events at Lutherdale Yes No

Releases and Authorization

This is needed for all volunteers.

Media Release: I give permission for photographs and/or video images of myself to be used in future Lutherdale and Faith Lutheran promotional materials (print publications, website, and social media). Lutherdal and Faith Lutheran will not include names or identifying information to any pictures of participants posted in our promotional materials without direct contact and written documentation or permission on file. PLEASE NOTE: If you do not agree to this release, Lutherdale and Faith will not take ANY pictures of you during summer camp, this includes cabin group photos

Yes No

Liability Release: In consideration of acceptance to Lutherdale Bible Camp, and Faith Lutheran's VBS, I indemnify and hold harmless Lutherdale Bible Camp and Faith Lutheran Church, its owners, agents, associates, and staff from any and all liability, claims, damage, injury, exposure to contagious conditions such as COVID-19, or illness sustained by my camper.

Yes No

Exposure Notification: I will notify the Camp Office (262) 742-2352 if I become aware that I was exposed to or may have contracted a contagious condition prior to the program or up to 7 days after departing Lutherdale / VBS

Yes No

Parental Authorization: In case of a medical emergency, I understand every effort will be made to contact the guardians of the camper. In the event that I cannot be reached, I hereby give permission to the medical examiner selected by the church staff to hospitalize, to secure proper treatment for, to order injection, anesthesia, or surgery for my child as named on this form.

Yes No

By electronically signing this document, I certify that the above statements are true and correct to the best of my knowledge (First Name, Last Name)

Date of Signature

2025 Volunteer Vacation Bible School Registration Form

Description

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