Vacation Bible School Registration 2024

Family Registration Form

Warren Catholic Community presents SCUBA VBS at Holy Redeemer Church. Week of July 29- August 2, 2024 from 8:30 am- 12:00 pm
Cost for the week is $30 per single child $50 per family.

Please send payment into Saint Joseph Catholic School in a clearly marked envelope or mail to Jennifer Wortman at 11 Russell St. Warren, PA 16365 marked VBS. Checks can be made out to Holy Redeemer Parish.
Type a question
1. Child's Name:*

First NameLast Name
Grade 2024-25:*
2. Child's Name:

First NameLast Name
Grade 2024-25:
3. Child's Name:

First NameLast Name
Grade 2024-25:
4. Child's Name:

First NameLast Name
Grade 2024-25:

Volunteer Sign Up
I would like to volunteer to help this week as...

On Site Snack MakerTeam LeaderMusicianStation DirectorCreative Space Designer or Decorator
Name of the adult or 6th-12th grade student volunteering:

First NameLast Name
Volunteer Phone:

Area CodePhone Number

Parental Consent

I hereby consent to let my child(ren) participate in the event Rockey Railway VBS! It is understood that every precaution will be taken for the safety and well-being of my child, but in the event of accident or sickness, Holy Redeemer Parish, its staff and its volunteers are hereby released from any liability.
Parent's Name:*

First NameLast Name
Date:*

MonthDayYearHourMinutesAM/PM Option
Submission of this form is equivalent to a signature.
Should be Empty:

Family Registration Form