&lt;span&gt;2023 Vacation Bible School&lt;/span&gt;&lt;div&gt; &lt;div&gt; June 12-18&lt;/div&gt;&lt;/div&gt;

Child's Information (Please submit additional forms for other children).

Grade Level (Entering 2023-2024 School year) Pre-K 4 Kindergarten First Grade Second Grade Third Grade Fourth Grade

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Birthdate REQUIRED Please fill out this field. Please enter a date.

Does your child have any allergies? REQUIRED Yes No Please fill out this field.

If yes, please list allergies. Please enter valid data.

Please list any medications, medical conditions, or any other information about your child that we should know.

Parent/Guardian 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.

Email REQUIRED Please fill out this field. Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

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.

I give my permission for my child to be photographed for use on the parish/school website and/or social media pages. REQUIRED Yes No Please fill out this field.

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 Please fill out this field. Please enter a phone number.

Please type your name to serve as your signature. REQUIRED Please fill out this field. Please enter valid data.

I Agree Please select this field.

2023 Vacation Bible School

June 12-18

VBS Information and Fees

VBS Registration

2023 Vacation Bible School June 12-18

2023 Vacation Bible School

June 12-18