SMM Vacation Bible School

St. Margaret Mary's Vacation Bible School

July 24-July 28

9:00 a.m. to Noon

Children Ages 4-12

Registration is also open to potty-trained children who are three, though his/her parent must volunteer at VBS all five days.
Your Name

First NameLast Name
Your Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Primary Contact Phone Number

Area CodePhone Number
Your Email
example@example.com
YesNo
How many children are you registering?
First Child's Name

Child's Last NameChild's Name for Nametag
First Child's Age (as of 7/31) and Sex (M/F)

AgeSex
First Child's Grade this Fall
(Students going into 6th Grade this fall will be assistant crew leaders and will receive Assistant Crew Leader T-shirts. Regular registration fee will apply.)
Youth Xtra Small (2-4)Youth Small (6-8)Youth Medium (8-10)Youth Large (12-14)Youth Xtra Large (14-16)
First Child - allergies, medical conditions, other special needs?
Second Child's Name

Child's Last NameChild's Name for Nametag
Second Child's Age (as of 7/31) and Sex (M/F)

AgeSex
Second Child's Grade this Fall
(Students going into 6th Grade this fall will be assistant crew leaders and will receive Assistant Crew Leader T-shirts. Regular registration fee will apply.)
Youth Xtra Small (2-4)Youth Small (6-8)Youth Medium (8-10)Youth Large (12-14)Youth Xtra Large (14-16)
Second Child - allergies, medical conditions, other special needs?
Third Child's Name

Child's Last NameChild's Name for Nametag
Third Child's Age (as of 7/31) and Sex (M/F)

AgeSex
Third Child's Grade this Fall
(Students going into 6th Grade this fall will be assistant crew leaders and will receive Assistant Crew Leader T-shirts. Regular registration fee will apply.)
Youth Xtra Small (2-4)Youth Small (6-8)Youth Medium (8-10)Youth Large (12-14)Youth Xtra Large (14-16)
Third Child - allergies, medical conditions, other special needs?
Fourth Child's Name

Child's Last NameChild's Name for Nametag
Fourth Child's Age (as of 7/31) and Sex (M/F)

AgeSex
Fourth Child's Grade this Fall
(Students going into 6th Grade this fall will be assistant crew leaders and will receive Assistant Crew Leader T-shirts. Regular registration fee will apply.)
Youth Xtra Small (2-4)Youth Small (6-8)Youth Medium (8-10)Youth Large (12-14)Youth Xtra Large (14-16)
Fourth Child - allergies, medical conditions, other special needs?
Music CDMP3 File
Additional comments/questions plus Registration Authorization
MY CHILD(REN) HAVE PERMISSION TO PARTICIPATE IN VBS ON JULY 24-28. BY CLICKING SUBMIT I hereby authorize a representative of St. Margaret Mary Church (SMM) to seek medical treatment for my child(ren) in the event of an emergency in which neither parent nor the adult in whose care the minor has been entrusted can be reached. I authorize any physician or medical center to treat my child. Photo Release-Pictures of my child taken during the event may be used in print or electronic media for the purposes of publicity for future events, unless I indicate to the VBS Coordinator in writing to the contrary. Cancellation Policy-A full refund will be given if canceling before June 16, 2023. No refunds will be made after this date.
Please check the box and indicate the number of registrations
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VBS Registration$50.00

Quantity

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