PBC - VBS - Volunteer Registration

Volunteer Registration

Please complete the form below to register as a volunteer for VBS at Parkway Baptist Church.

Childcare is available for volunteers only. If you require childcare while volunteering please indicate that below.

Volunteer Information

First Name

First Name Required.

Last Name

Last Name Required.

Address

Address Required.

Address 2 (Optional)

City

City Required.

State

State Required

Zip

Zip Required.

Cell Phone Example: 502-555-5555

Cell Phone Required.

Home Phone (Optional) Example: 502-555-5555

Home Phone Required.

Work Phone (Optional) Example: 502-555-5555

Email(Optional)

Allergies, Medical, and Special Needs(Optional) Leave Blank if None

Where would you like to serve?

Serve Selection Required.

Emergency Contacts

NOTE: Maximum of two emergency contacts.

1) First Name

Emergency Contact Name Required.

1) Last Name

Emergency Contact Name Required.

1) Phone Example: 502-555-5555

Phone Required.

Add Emergency Contact

Do you have a background check on file with Parkway?

Will you require childcare?

Childcare Information

NOTE: This site supports a maximum of four children for childcare registration.

Child #1

First Name

First Name Required.

Last Name

Last Name Required.

Birthday Example: 1/1/2010

Gender

Gender Required.

Photography Permission

NOTE: Registering For Parkway Baptist Church's Vacation Bible School grants Parkway permission to use your child's likeness or image in photographs. To opt out, call the church office (502.348.4677) prior to June 1st.

Allergies, Medical, and Special Needs(Optional) Leave Blank if None

Comments(Optional) Leave Blank if None

Child #2

First Name

First Name Required.

Last Name

Last Name Required.

Birthday Example: 1/1/2010

Gender

Gender Required.

Photography Permission

Allergies, Medical, and Special Needs(Optional) Leave Blank if None

Comments(Optional) Leave Blank if None

Child #3

First Name

First Name Required.

Last Name

Last Name Required.

Birthday Example: 1/1/2010

Gender

Gender Required.

Photography Permission

Allergies, Medical, and Special Needs(Optional) Leave Blank if None

Comments(Optional) Leave Blank if None

Child #4

First Name

First Name Required.

Last Name

Last Name Required.

Birthday Example: 1/1/2010

Gender

Gender Required.

Photography Permission

NOTE: Photos may be used in promotional material.

Allergies, Medical, and Special Needs(Optional) Leave Blank if None

Comments(Optional) Leave Blank if None

Add Child

Authorized Pickups

1) First Name

Authorized Pickup Name Required.

1) Last Name

Authorized Pickup Name Required.

Add Authorized Pickup