VBS adult volunteers

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  June 22-26, 2026 from 9:00 am – 12:00 pm
  Training: June 13 – 1:00 pm – 4:00 pm
  Workday: June 20 & 21 – Time: TBD
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  T-shirt size REQUIRED Please fill out this field.
  
  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.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Text? REQUIRED Please fill out this field.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  EMERGENCY CONTACT 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.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Relation REQUIRED Please fill out this field. Please enter valid data.
  
  I understand that the parish does not assume responsibility for payment of a physician. If our
  family cannot be reached, the parish office may choose a physician.
  
  I Agree Please select this field.
  
  Health Insurance provider Please enter valid data.
  
  Policy number Please enter an integer (number).
  
  Physician name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  In the event of a serious emergency, and the person listed on the front page cannot be
  contacted, I authorize parish staff to call my physician, or if the situation demands, to transfer me to the nearest hospital for emergency care.
  
  I Agree Please select this field.
  
  Please marked the preferred areas where you are interested in volunteering (you may not get any of your choices, we assign based on need)
  
  Preference #1 REQUIRED Please fill out this field.
  
  Preference #2 REQUIRED Please fill out this field.
  
  Preference #3 REQUIRED Please fill out this field.
  
  Preference #4 REQUIRED Please fill out this field.
  
  Preference #5 REQUIRED Please fill out this field.
  
  Submit
  
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ST. ROSE OF LIMA CATHOLIC CHURCH

Roseville, CA

VBS adult volunteers