Vacation Bible School Registration 2026

After filling out this form, you will press the SUBMIT button, and be directed to our secure, online giving site (OSV) payment. If you choose to pay by check or cash, simply "x" out of that site. You will need to state your intention at the bottom of this form.

The cost is $40 per child, or $100 per family of 3 or more children (siblings).

Deadline for registration: Tuesday, June 30, 2026

Email*

example@example.com

St. Anastasia ParishOther

Parent/Guardian Name(s)*

First NameLast Name

Parent/Guardian Name(s)

First NameLast Name

BEST Phone # and WHO answers this number:*

EMERGENCY Contact NAME & PHONE #

Will someone other than a PARENT be dropping off or picking up the child(ren)? If yes, who will that be?

This VBS event is for children in Pre-K - Grade 5 as of September 2026 (this coming fall school year). Pre-K children must be potty trained.

Please list your participating children's Name, Grade & T-Shirt size below.

Name - child #1*

First NameLast Name

Grade - child #1*

for 2026-27 school year

T-Shirt Size - child #1*

Name - child #2

First NameLast Name

Grade - child #2

for 2026-27 school year

T-Shirt Size - child #2

Name - child #3

First NameLast Name

Grade - child #3

for 2026-27 school year

T-Shirt Size - child #3

Name - child #4

First NameLast Name

Grade - child #4

for 2026-27 school year

T-Shirt Size - child #4

SPECIAL NEEDS, ALLERGIES & MEDICAL CONDITIONS

Please use the space below to let us know if your child will need assistance, carry an inhaler, has any allergies or medical conditions we need to know about. A simple snack will be handed out at the snack station each day. If you have concerns about daily snack, please note your concern below and we will contact you at the email address or phone number provided.

Please list any Special Needs, Allergies and/or Medical Conditions:

If needed, you will be contacted via the email address you provide on this form

Comments or Questions for the VBS Coordinator:

If needed, you will be contacted via the email address you provide on this form

I am available to help set up the week beforeI am available to help during VBSI am available help clean up after VBS is over (Thursday/Friday)I am not available to help

PHOTO Release: We will be taking pictures of children participating in VBS. Names will not be associated with pictures. These may be used on the parish campus, or social media communications, such as parish bulletin, website, Twitter, Instagram or Facebook. Here we request your permission for Photo Release:

YES, I give permission for photo releaseNO, I do not give permission for photo release

STATEMENT OF CONSENT and RELEASE OF LIABILITY:

If you would like your child(ren) to participate in this event, please complete and sign the following statement of consent and release of liability. As parent or legal guardian, you remain fully responsible for the actions and conduct of your child.

I hereby consent to participation of my child(ren), in the VBS 2026 event. I understand that this event will take place at St. Anastasia parish campus and my child(ren) will be under the supervision of the designated parish employees and volunteers on stated dates. I further consent to the conditions stated above on participation in this event.

In consideration of my child(ren) being allowed to participate in this event, I hereby agree on behalf of myself, and my child(ren), to release St. Anastasia Parish, the Roman Catholic Archdiocese of Detroit, and any and all affiliated organizations, their employees, agents, and representatives, including volunteers (collectively "Releasees"), from any and all claims, including negligence, which may be asserted by me or by my child(ren), or on behalf of my child(ren), arising from or relating to my child(ren)'s participation in the event. In the event this release on behalf of myself and/or my child(ren) is held to be invalid or unenforceable, I hereby agree to indemnify and hold harmless Releasees from any and all claims, including negligence, which may be asserted by me or by my child(ren), or on behalf of my child(ren), arising from or relating to my child(ren)'s participation in the event. This release of indemnification does not apply to the extent of commercial insurance coverage for any claim, but this Release of Indemnification shall apply to the extent of any self-insurance or deductible applicable to any claim.

I have read and agree to the above Statement of Consent and Release of Liability

Name of Parent/Guardian signing this form and agreeing to Statement of Consent:*

First NameLast Name

Signature for Statement of Consent and Release of Liability:*

MEDICAL Release: In the event of an emergency where medical treatment is required, I give my permission to the parish staff or sponsor to obtain the services of a licensed physician. Please make every attempt to notify me immediately concerning any such emergency.

Signature for MEDICAL RELEASE:*

I intend to pay by credit card or bank account using the secure OSV site that I will be directed to when submitting this online form. I understand that I will need to create an account if I don't already have one (or use as "guest"). Click the "VBS registration" icon on that site and add in the full amount owed: either $40, $80 or $100.I intend to drop off or mail in a check (made payable to St. Anastasia w/VBS in the memo line) to: St. Anastasia VBS, 4571 John R, Troy MI 48085.I intend to drop off cash at the parish - or use my credit card in person at the parish within the next week.Please contact me regarding the payment for this event.