VBS Youth Volunteer Registration VBS 2017 - Youth Volunteer Meet Youth Coordinator at 8:15 AM in the Youth Cafe each day, June 12 - 15, 2017. Name* First Last Email Address or Parents Email Address* Youth Cell PhoneRISING Grade*Where would you like to help?* Kids Group Craft Booth Parent/Guardian - please include area code. Example: (423) 123-4567*NameCell Emergency Contact - please include area code. Example: (423) 123-4567*NameCell Phone Allergies/Medicines/Special Needs* None Food Allergy Drug Allergy Current Medicines (for emergency purposes only) Special Needs Please elaborate on what you checked: Allergies/Medicines/Special Needs*Please hand your labeled EPI Pen to the Nurse in the car line each day.In the case of an allergic reation, please administer 1 dose of No Dye, Liquid Benadryl until I arrive.* Yes No Medical Information*PhysicianPhone Number Click the + beside phone number to add more physicians. Phone number example: (423) 123-4567How are you getting home?* Walking Driving Parent Pickup Sitter Pickup Neighbor Pickup If you clicked Sitter or Neighbor pickup, please provide the cell phone number.*I, the parent/guardian of child being registered, authorize the adult leaders of Signal Mountain Presbyterian Church (SMPC) VBS, to act as my agent to consent to emergency treatment. I understand that every attempt will be made to contact the parent/guardian in the event of any emergency. I therefore assume all responsibility for decisions so made, and the emergency care or treatment secured for my child. This includes SMPC to administer 1 dose of no dye, liquid Benadryl in case of allergy reaction.Disclaimer* Please check that you have read and agree to the above disclaimer.