2022 VBS Registration

Vacation Bible School is open to children entering Pre-School - Grade 6.

We look forward to seeing your child August 1-5!

Monday-Thursday (9am-Noon) Friday (9am-12:30pm)

For questions about VBS, contact Trisha Zimmerman at trishaz@hffdl.org
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name *

First Name Last Name
Primary Phone *
E-mail *
Please select ANY and ALL volunteer positions you are willing to assist with.

4K 5K/1 Grade 2/3 Grade Music Leader Crafts Leader Game Leader Bible Story Leader Snack Leader or Helper Planning preparation for VBS leading up to August Art Design in advance of August
Emergency Contact *

First Name Last Name
Phone Number *

Area Code Phone Number
Relationship to Child(ren) *
Anyone else in your household who would like to volunteer

First Name Last Name
Contact Number
Email
example@example.com
Is this person 18 or will they be before August 1, 2022

Yes No
Please select ANY and ALL volunteer positions you are willing to assist with.

4K 5K/1 Grade 2/3 Grade Music Leader Crafts Leader Game Leader Bible Story Leader Snack Leader or Helper Planning preparation for VBS leading up to August Art Design in advance of August
Participant Information
First Child *

First Name Last Name
T-Shirt size *
Grade Entering in Fall of 2022 *
Grades 4-6 assist with the younger kids. If this child is in grades 4-6 please indicate if they have a preference in where they would like to help. (We cannot guarantee they will get their selection.)

Music Crafts Games Bible Story
Second Child

First Name Last Name
T-Shirt Size
Grade Entering in Fall 2022
Grades 4-6 assist with the younger kids. If this child is in grades 4-6 please indicate if they have a preference in where they would like to help. (We cannot guarantee they will get their selection.)

Music Crafts Games Bible Story
Third Child

Last Name First Name
T-Shirt Size
Grade Entering in Fall 2022
Grades 4-6 assist with the younger kids. If this child is in grades 4-6 please indicate if they have a preference in where they would like to help. (We cannot guarantee they will get their selection.)

Music Crafts Games Bible Story
Fourth Child

First Name Last Name
T-Shirt Size
Grade Entering in Fall 2022
Grades 4-6 assist with the younger kids. If this child is in grades 4-6 please indicate if they have a preference in where they would like to help. (We cannot guarantee they will get their selection.)

Music Crafts Games Bible Story
HEALTH INFORMATION & SPECIAL NEEDS
Health Information: Please note that if your child has an allergy that requires an EpiPen, you must bring that EpiPen each day or your child will not be able to participate.
Photo Permission

The Holy Family Parish photographer or coordinator will be present to take photos or videos of the students for use in program displays, the parish bulletin or website, or other publicity-related publications. These materials will only be used for appropriate purposes and names will not be listed. It will be assumed that you give permission for your child to be photographed or videotaped unless you provide a statement via e-mail to Trisha Zimmerman at trishaz@hffdl.org. She will reply back to verify that your wishes are understood. If you do not receive a response back within 24 hours, she did not receive your e-mail so please try again.
Signature of Parent or Guardian certifying all information above is accurate. *

Clear
Payment & Financial Aid

The cost of VBS is $30 per child which includes a t-shirt and one cd per family.

Upon submission of your registration you will be redirected to Weshare if you would like to pay the program cost online.

A separate form will need to be filled out to request financial assistance or a payment plan. In order to request this form please contact Sabina Carter at scarter@hffdl.org.
Should be Empty:

PARENT/GUARDIAN INFORMATION:

Participant Information

HEALTH INFORMATION & SPECIAL NEEDS

Photo Permission