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VBS Adult Volunteer Registration

- Faith Formation

This is the form for Adult Volunteer Registrations.
The maximum number of form submissions has been reached. This form is currently not available.
- Contact Information
  
  Registered Family Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Home Phone Number Maximum 20 characters Please enter a phone number.
  
  Cell Phone Number Maximum 20 characters Please enter a phone number.
  
  Emergency Contact & Relationship Please enter valid data.
  
  Phone Number Maximum 20 characters Please enter a phone number.
- Volunteer Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  T-Shirt Size REQUIRED Please fill out this field.
  
  Have you completed Protecting God's Children? (PGC) REQUIRED Yes No Please fill out this field.
  
  Special Needs / Allergies Please enter valid data.
  
  Special Requests Please enter valid data.
  
  Adult Photography Release Form
  Diocese of Saint Augustine
  Catholic Center
  11625 Old St. Augustine Road
  Jacksonville, Florida 32258
  
  Without compensation, I hereby grant permission to the Catholic Diocese of Saint Augustine to use and reproduce photographs taken of me. These photographs may be used for news and editorial purposes in publications, electronic reproductions (websites and video) and/or brochures. In addition, I grant my permission to alter the same photos without restriction and to copyright the same. I hereby release the photographer, the journalists and the publications or media outlets they represent, as well as, the parish/church and/or school involved, the Bishop of the Diocese of St. Augustine, a corporation sole, the Catholic Diocese of Saint Augustine and all of their employees and agents, from all claims and liability relating to said photographs
  I Agree Please select this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date REQUIRED Please fill out this field. Please enter a date.
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