VBS Participant Registration

Vacation Bible School (VBS) Participant Registration

Rising Kindergarten through Rising 5th Grade


Volunteers are needed.  Please complete the separate Volunteer Registration.

Completed forms and payment are due no later than May 31

Cost is $35 per child with a $70 maximum per family. 

Family Information
Parent 1 Name
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Family Phone Number --
Family E-mail Address
Parent 1 Cell Phone --
Parent 2 Name
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Parent 2 Cell Phone --
Other E-mail address
Photo and Video Notification Photos will be taken during Vacation Bible School and may be distributed for church uses. By your child attending, you are waiving any claims and/or rights regarding said use and/or activity. Photography and video of our parish members and friends help to display the vibrancy and joy of our parish community. We use photos to enhance the quality of our print materials, bulletin, website, social media, publicity, and fundraising. No names will be used.
Please enter your full name to confirm your understanding of this policy.
Authorization for Release Please list the names of adults (18+) who are permitted to pick up your child in place of a parent.
Emergency Contact Information
Emergency Contact Name
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Emergency Contact Phone --
Child Information
Child 1 Name
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Birth Date //
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Gender
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Current Grade
Grade this Fall
T-shirt Size
Please list any learning needs or physical concerns such as allergies.
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Child 2 Name
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Birth Date //
  •  
Gender
  •  
Current Grade
Grade this Fall
T-shirt Size
Please list any learning needs or physical concerns such as allergies.
  •  
Child 3 Name
  •  
Birth Date //
  •  
Gender
  •  
Current Grade
Grade this Fall
T-shirt Size
Please list any learning needs or physical concerns such as allergies.
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Child 4 Name
  •  
Birth Date //
  •  
Gender
  •  
Current Grade
Grade this Fall
T-shirt Size
Please list any learning needs or physical concerns such as allergies.
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Payment
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Quantity Extended

VBS Participant Registration | $35.00

VBS Registration, $35 per child

VBS Family Max | $70.00

Maximum VBS Fee of $70

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Subtotal
Discount
Sales Tax
Shipping & Handling
Total

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