VBS Registration Form

Today's Date (MM/DD/YYYY)
 
Child's Name Date of Birth (MM/DD/YYYY)
 
Age Grade (next school year)
 
Additional Information (allergies, other health concerns, etc.)
 
Second Child's Name Date of Birth (MM/DD/YYYY)
 
Age Grade (next school year)
 
Additional Information (allergies, other health concerns, etc.)
 
Third Child's Name Date of Birth (MM/DD/YYYY)
 
Age Grade (next school year)
 
Additional Information (allergies, other health concerns, etc.)
 
Name of Parent(s)/Guardian(s)
 
Address
Street Address
 
Address Line 2
 
City State
 
Postal / Zip Code Country
 
Phone Number Cell Phone Number (optional)
 
Email (optional)
 
I am willing to:
Assist Volunteer

Did you remember to:
Fill-out a Health and Wellness form and Media-release form (to register your preferences on the use of photography) for each child enrolled above?
 
You can find the Health and Wellness form by clicking here
You can find the Media-Release form by clicking here
You can pay your registration fee by clicking here
 
Don't forget to register with "Join Our Email" for important parish updates and information.
 
You can also put the Christmas Pageant and Vacation Bible School on your calendar!