Vacation Bible School

VACATION BIBLE SCHOOL
JULY 7-12, 2025
9:00 – 12:00

cost per child is $25.00

2025 Registration Form

Directions: Please complete the form below. All children may be registered on the same form. If you are registering more than 4 children please add the other children in the comments section with their name, birthdate, and health INFO/Allergies. After submitting the registration fee, please click the link to submit payment.

VBS Registration

PARENT'S NAME:

REGISTERED PARISHIONER OF:

CELL #:

WORK #:

E-MAIL ADDRESS:

HOME ADDRESS:

CITY:

STATE:

ZIP:

SECONDARY EMERGENCY CONTACT:

RELATION TO CHILD:

CELL #:

WORK #:

NAMES OF PEOPLE WHO ARE ALLOWED TO PICK UP THE CHILD/CHILDREN:

CHILD #1 NAME:

DATE OF BIRTH:

HELATH INFO/ALLERGIES:

CHILD #2 NAME:

DATE OF BIRTH:

HEALTH INFO/ ALLERGIES:

CHILD #3 NAME:

DATE OF BIRTH:

HELATH INFO/ALLERGIES:

CHILD #4 NAME:

DATE OF BIRTH:

HEALTH INFO/ALLERGIES:

PARENT SIGNATURE : By digitally signing this form, I give permission to the staff to seek medical attention for my child if necessary during VBS activities. I understand necessary precautions will be taken to ensure my child's safety. I will not hold the church, its staff, volunteers, and all supervisors liable. I give permission for my child to be photographed or video taped for lawful use in church publications. I understand that there is no compensation for use of photos/videos.

TODAY'S DATE:

COMMENTS:

CONTACT US | BULLETIN

VBS Registration

PARISH OFFICE HOURS OF OPERATION