Youth Staff Application for VBS (ages 11-17)

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Grade entering in Fall 2025 REQUIRED Please fill out this field. Please enter valid data.
Age at time of VBS REQUIRED Please fill out this field. Please enter valid data.
Gender REQUIRED Female Male Please fill out this field.
For what reasons are you applying to be on staff at VBS? REQUIRED Please fill out this field.
Please check if you agree: REQUIRED I will uphold the truths and teachings of the Catholic Church. I will behave in a respectful and appropriate way worthy of my dignity as a child of God. I will dress modestly and in accordance with the dress code--no short shorts/skirts, no holes in clothes. I will not wear clothing or carry bags with anti-Catholic propaganda or bad language. I will attend all required staff training and planning meetings (TBA). I understand that I am a volunteer and do not get paid for this job, although the rewards are out of this world! I am willing to help wherever needed including taking my turn behind the mic, leading stations, and helping with skits. Please fill out this field.
All youth staff will be assigned a t-shirt to borrow for the week. What is your t-shirt size? Youth M (10/12); Youth L (14/16); Youth XL (18/10); Adult S, Adult M, Adult L, Adult XL REQUIRED Please fill out this field. Please enter valid data.
Youth Email (if public) Please enter an email address.
Cell Phone # (if you have one) Maximum 20 characters Please enter a phone number.
Allergies/medications/chronic medical concerns REQUIRED Please fill out this field. Please enter valid data.
PARENT INFORMATION
Name of Parent/Guardian #1 REQUIRED Please fill out this field. Please enter valid data.
Parent/Guardian #1 Phone number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Parent/Guardian #1 Email REQUIRED Please fill out this field. Please enter an email address.
Name of Parent/Guardian #2 Please enter valid data.
Parent/Guardian #2 Phone Number Maximum 20 characters Please enter a phone number.
Parent/Guardian #2 Email Please enter an email address.
At which Church/Churches do you normally worship? Please enter valid data.
MEDICAL CARE INFORMATION
Primary Care Physician Please enter valid data.
Health Insurance Name/Policy # Please enter valid data.
Policy Holder Name Please enter valid data.
Emergency Contact Information (other than parents/guardians listed above)
Name Please enter valid data.
Relationship Please enter valid data.
Phone Number Maximum 20 characters Please enter a phone number.
LIABILITY AGREEMENT: I request permission for my child to attend this event to be held at St. Joseph’s Church. I understand this event will take place under the guidance and supervision of responsible employees/volunteers from the Parish and, if needed, give permission for my child to be evaluated, diagnosed, treated/medicated in accordance with standard medical practice by licensed medical personnel. I relieve the Parish, Diocese, and volunteer leaders of all responsibility and consequences that may arise because of this treatment. I will not hold the Parish, Diocese, or representative associated with this event responsible in the event of injury. If I cannot be reached in case of an emergency I give permission for the parish coordinator to act on my behalf. Further, I agree to accept any and all financial responsibility related to such care.

I/my child agrees to abide by all the rules as outlined in the Diocese of Portland Code of Behavior/Ethics.* The Diocese of Portland will not be liable if myself/my child fail to cooperate with said rules and any infractions may result in immediate dismissal from this event. I understand that I am legally responsible for the behavior of myself/my child.

DIGITAL RELEASE: I hereby grant to the Diocese of Portland my consent without reservation to use, assign, convey, reproduce, copyright or publish my child’s name, voice, image, and/or likeness that arises from his/her participation in this event, whether still or motion pictures, audio or video tape, for promotional, instructional, business or any other lawful purposes, at the Diocese of Portland’s sole discretion.
I Agree Please select this field.

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Youth Staff Application for VBS (ages 11-17)

Youth Staff Application Form for VBS 2025 (ages 11-17)

APPLICATIONS MUST BE SUBMITTED BY APRIl 1.

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