2025 VBS Youth Leader Interest Form (ages 11 - high school senior) - Holy Family & Saint Irene Parishes

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

Parent/Guardian Last Name REQUIRED Please fill out this field. Please enter valid data.

Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Registered Parish REQUIRED Please fill out this field.

Adult Email REQUIRED Please fill out this field. Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Full Name of Emergency Contact other than a Parent or Guardian REQUIRED Please fill out this field. Please enter valid data.

Phone Number for Emergency Contact other than a Parent or Guardian REQUIRED Please fill out this field. Please enter valid data.

Relationship to Emergency Contact other than a Parent or Guardian REQUIRED Please fill out this field. Please enter valid data.

Do we have permisssion to display your child(ren)'s names and or photographic images, including video, onto our website, newletters, bulletins, social media, or other forms of communication? REQUIRED Yes No Please fill out this field.

Total Number of Youth Leaders from your family (not counting Child Participants) REQUIRED Please fill out this field.
Child 1
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Female Male Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- T-Shirt Size REQUIRED Please fill out this field.
- Age on June 24 - Youth Leader REQUIRED Please fill out this field.
- Has this youth participated in VBS before? Yes, in the Concord-Carlisle Catholic Collaborative Yes, in another community (Welcome!) No, this participant is new (Welcome!)
- I would like to serve at VBS (check all possibilities you would consider): REQUIRED Preparation Work Decorating Committee Participant Group Leader Bible Adventures KidVid Cinema Games/Sports/Outdoor Play Imagination Station Snacks Skits MC: Opening and Closing Check-In Table Please fill out this field.
- Of the roles you selected above, you may share below if any are preferred. Is there anything else you would like to share with us about your role on the VBS Leader Team?
- Allergies or other medical conditions
  Please include food allergies, educational needs, physical challenges, etc.
Child 2
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Female Male Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- T-Shirt Size REQUIRED Please fill out this field.
- Age on June 24 - Youth Leader REQUIRED Please fill out this field.
- Has this youth participated in VBS before? Yes, in the Concord-Carlisle Catholic Collaborative Yes, in another community (Welcome!) No, this participant is new (Welcome!)
- I would like to serve at VBS (check all possibilities you would consider): REQUIRED Preparation Work Decorating Committee Participant Group Leader Bible Adventures KidVid Cinema Games/Sports/Outdoor Play Imagination Station Snacks Skits MC: Opening and Closing Check-In Table Please fill out this field.
- Of the roles you selected above, you may share below if any are preferred. Is there anything else you would like to share with us about your role on the VBS Leader Team?
- Allergies or other medical conditions
  Please include food allergies, educational needs, physical challenges, etc.
Child 3
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Female Male Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- T-Shirt Size REQUIRED Please fill out this field.
- Age on June 24 - Youth Leader REQUIRED Please fill out this field.
- Has this youth participated in VBS before? Yes, in the Concord-Carlisle Catholic Collaborative Yes, in another community (Welcome!) No, this participant is new (Welcome!)
- I would like to serve at VBS (check all possibilities you would consider): REQUIRED Preparation Work Decorating Committee Participant Group Leader Bible Adventures KidVid Cinema Games/Sports/Outdoor Play Imagination Station Snacks Skits MC: Opening and Closing Check-In Table Please fill out this field.
- Of the roles you selected above, you may share below if any are preferred. Is there anything else you would like to share with us about your role on the VBS Leader Team?
- Allergies or other medical conditions
  Please include food allergies, educational needs, physical challenges, etc.
Child 4
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Female Male Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- T-Shirt Size REQUIRED Please fill out this field.
- Age on June 24 - Youth Leader REQUIRED Please fill out this field.
- Has this youth participated in VBS before? Yes, in the Concord-Carlisle Catholic Collaborative Yes, in another community (Welcome!) No, this participant is new (Welcome!)
- I would like to serve at VBS (check all possibilities you would consider): REQUIRED Preparation Work Decorating Committee Participant Group Leader Bible Adventures KidVid Cinema Games/Sports/Outdoor Play Imagination Station Snacks Skits MC: Opening and Closing Check-In Table Please fill out this field.
- Of the roles you selected above, you may share below if any are preferred. Is there anything else you would like to share with us about your role on the VBS Leader Team?
- Allergies or other medical conditions
  Please include food allergies, educational needs, physical challenges, etc.
Child 5
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Female Male Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- T-Shirt Size REQUIRED Please fill out this field.
- Age on June 24 - Youth Leader REQUIRED Please fill out this field.
- Has this youth participated in VBS before? Yes, in the Concord-Carlisle Catholic Collaborative Yes, in another community (Welcome!) No, this participant is new (Welcome!)
- I would like to serve at VBS (check all possibilities you would consider): REQUIRED Preparation Work Decorating Committee Participant Group Leader Bible Adventures KidVid Cinema Games/Sports/Outdoor Play Imagination Station Snacks Skits MC: Opening and Closing Check-In Table Please fill out this field.
- Of the roles you selected above, you may share below if any are preferred. Is there anything else you would like to share with us about your role on the VBS Leader Team?
- Allergies or other medical conditions
  Please include food allergies, educational needs, physical challenges, etc.
Child 6
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Female Male Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- T-Shirt Size REQUIRED Please fill out this field.
- Age on June 24 - Youth Leader REQUIRED Please fill out this field.
- Has this youth participated in VBS before? Yes, in the Concord-Carlisle Catholic Collaborative Yes, in another community (Welcome!) No, this participant is new (Welcome!)
- I would like to serve at VBS (check all possibilities you would consider): REQUIRED Preparation Work Decorating Committee Participant Group Leader Bible Adventures KidVid Cinema Games/Sports/Outdoor Play Imagination Station Snacks Skits MC: Opening and Closing Check-In Table Please fill out this field.
- Of the roles you selected above, you may share below if any are preferred. Is there anything else you would like to share with us about your role on the VBS Leader Team?
- Allergies or other medical conditions
  Please include food allergies, educational needs, physical challenges, etc.
Child 7
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Female Male Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- T-Shirt Size REQUIRED Please fill out this field.
- Age on June 24 - Youth Leader REQUIRED Please fill out this field.
- Has this youth participated in VBS before? Yes, in the Concord-Carlisle Catholic Collaborative Yes, in another community (Welcome!) No, this participant is new (Welcome!)
- I would like to serve at VBS (check all possibilities you would consider): REQUIRED Preparation Work Decorating Committee Participant Group Leader Bible Adventures KidVid Cinema Games/Sports/Outdoor Play Imagination Station Snacks Skits MC: Opening and Closing Check-In Table Please fill out this field.
- Of the roles you selected above, you may share below if any are preferred. Is there anything else you would like to share with us about your role on the VBS Leader Team?
- Allergies or other medical conditions
  Please include food allergies, educational needs, physical challenges, etc.
Child 8
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Female Male Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- T-Shirt Size REQUIRED Please fill out this field.
- Age on June 24 - Youth Leader REQUIRED Please fill out this field.
- Has this youth participated in VBS before? Yes, in the Concord-Carlisle Catholic Collaborative Yes, in another community (Welcome!) No, this participant is new (Welcome!)
- I would like to serve at VBS (check all possibilities you would consider): REQUIRED Preparation Work Decorating Committee Participant Group Leader Bible Adventures KidVid Cinema Games/Sports/Outdoor Play Imagination Station Snacks Skits MC: Opening and Closing Check-In Table Please fill out this field.
- Of the roles you selected above, you may share below if any are preferred. Is there anything else you would like to share with us about your role on the VBS Leader Team?
- Allergies or other medical conditions
  Please include food allergies, educational needs, physical challenges, etc.
Child 9
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Female Male Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- T-Shirt Size REQUIRED Please fill out this field.
- Age on June 24 - Youth Leader REQUIRED Please fill out this field.
- Has this youth participated in VBS before? Yes, in the Concord-Carlisle Catholic Collaborative Yes, in another community (Welcome!) No, this participant is new (Welcome!)
- I would like to serve at VBS (check all possibilities you would consider): REQUIRED Preparation Work Decorating Committee Participant Group Leader Bible Adventures KidVid Cinema Games/Sports/Outdoor Play Imagination Station Snacks Skits MC: Opening and Closing Check-In Table Please fill out this field.
- Of the roles you selected above, you may share below if any are preferred. Is there anything else you would like to share with us about your role on the VBS Leader Team?
- Allergies or other medical conditions
  Please include food allergies, educational needs, physical challenges, etc.
Child 10
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Female Male Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- T-Shirt Size REQUIRED Please fill out this field.
- Age on June 24 - Youth Leader REQUIRED Please fill out this field.
- Has this youth participated in VBS before? Yes, in the Concord-Carlisle Catholic Collaborative Yes, in another community (Welcome!) No, this participant is new (Welcome!)
- I would like to serve at VBS (check all possibilities you would consider): REQUIRED Preparation Work Decorating Committee Participant Group Leader Bible Adventures KidVid Cinema Games/Sports/Outdoor Play Imagination Station Snacks Skits MC: Opening and Closing Check-In Table Please fill out this field.
- Of the roles you selected above, you may share below if any are preferred. Is there anything else you would like to share with us about your role on the VBS Leader Team?
- Allergies or other medical conditions
  Please include food allergies, educational needs, physical challenges, etc.