WHO: for Youth Who Have Completed 6Th Grade and Up, As Well As Adults

CREW/STATION LEADERS

WHO: For youth who have completed 6th grade and up, as well as adults.

WHAT: Vacation Bible School

WHEN: Monday, July 10th – Friday, July 14th, 2017

from 8:45AM-12:45PM (Leaders’ times)

WHERE: St. Jude Church, 435 Mammoth Road, Londonderry, NH

Bring a snack and a drink every day. Wear sneakers and modest clothing appropriate for outdoor activities.

Leader’s Name: ______Gender: F M Age: ______

Circle one

Date of birth: ______Last grade completed as of June 30th, 2017:______

Leader’s cell phone #: (______) ______Home phone: (______) ______

Street address: ______City: ______State: ____ Zip: ______

Parent(s):______Parent(s) cell phone: (______) ______

Home email address: ______Home Church: ______

Adult Tee-Shirt Size (Circle One): XS------S------M------L------XL------XXL------XXXL

Circle three choices, numbering them 1, 2 and 3, with #1 being your first choice, #2 your second choice and #3 your third choice. You must circle three. I will do my best to give you your 1st or 2nd choice but that is not always possible. Let the Holy Spirit take you where it will be best for you.

Small Crew Bible Story Games Music Science/Imagination

Leader Station Station Station Station

(All small crews will be mixed age groups of 1st graders and up)

Small Crew or Station assignment (for Miss Trish’s use only):______.

PLEASE COMPLETE BOTH SIDES OF THIS FORM.

FOR ALL VOLUNTEERS 18 AND OLDER

Complete a Volunteer Form; Complete background checks for all states in which you have resided during the past 5 years; Complete child abuse awareness training online through the Shield the Vulnerable training site (see instructions below); Read and acknowledge our diocesan Code & Policy (you will complete this at the end of your online training).

Go to: www.shieldthevulnerable.org , Click on “First Time Signup”, on the “Pick Type” dropdown list, choose Catholic Dioceses, choose Manchester Diocese (NH) from the second dropdown list and click “Confirm”.

You will reach a page with a message from the Manchester Diocese. Click on “Next”, enter your registration information and click “Next Step”; choose “Volunteer” and select the appropriate choices that follow; Review your information, accept the license and click “Confirm Signup”. Once registered, you will automatically be taken to the training area. Click the green button next to the course listing to begin.