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!