St. Gabriel's 2024 VBS Signup
At this time our online registration has closed. See you soon! Please contact Pam Satek: 630-258-1660 or pams@satekwinery.com for any inquiries.
Participant Name
First Name
Last Name
Parent/Guardian Name
First Name
Last Name
Participant Age
Participant School Grade
Parent/Guardian Email
example@example.com
Parent/Guardian Phone
Please enter a valid phone number.
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone
Please enter a valid phone number.
Please list any allergies, medical conditions, or support needs
I understand a $10 per child or $20 per family program fee will be due via cash/check on the first day of the program to help cover costs for meals/snacks/etc. Scholarships also available, please contact: office@stgabriels.church
Yes
I consent to my child's participation in the VBS program.
Yes
No
I authorize the VBS staff to seek emergency medical treatment for my child if necessary.
Yes
No
I give permission for any photographs which include my child to be used in the church’s digital and print communications. St. Gabriel's will never publish a child’s name or any personal information with any of its publications.
Yes
No
By signing this form, I agree to release and hold harmless the VBS program, staff, and volunteers from any claims or liability arising from my child's participation.
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