VBS Registration Form -2025

How many children will you be registering:

Please select number of kids attending

Child's Name*

First NameLast Name

Child 2's Name*

First NameLast Name

Child 3's Name*

First NameLast Name

Child 4's Name*

First NameLast Name

Child 5's Name*

First NameLast Name

Child 6's Name*

First NameLast Name

Age. *

Age. Child 2 *

Age Child 3. *

Age Child 4 . *

Age Child 5 . *

Age. Child 6 *

Date of Birth*

MonthDayYear

Date of Birth Child 2*

MonthDayYear

Date of Birth Child 3 *

MonthDayYear

Date of Birth Child 4 *

MonthDayYear

Date of Birth Child 5 *

MonthDayYear

Date of Birth Child 6 *

MonthDayYear

Rising Grade 2025-2026 *

Rising Grade 2025-2026 Child 2 *

Rising Grade 2025-2026 Child 3*

Rising Grade 2025-2026 Child 4 *

Rising Grade 2025-2026 Child 5 *

Rising Grade 2025-2026 Child 6 *

Medical Problems/ Allergies / Special Needs for any children please include child's name if registering more than one child *

Parent / Guardian's Name*

First NameLast Name

Phone Number (Daytime / Emergency)*

Area CodePhone Number

Phone Number (Evening)

Area CodePhone Number

E-mail*

Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry

Are you currently a parishioner?*

YesNo

Would you like a second VBS this summer? It would be a NEW adventure, meaning not the same as Wonder Junction. It would be in July!*

YES! :NO

CONSENT FOR MEDICAL TREATMENT |

As the parent or legal guardian of the above-named participant, I hereby give my consent for emergency medical care prescribed by a duly licensed Doctor. This care may be given under whatever conditions are necessary to preserve the life, limb, or well-being of my dependent.

By signing you also are agreeing to the policies put in place by St Paul Catholic Church Religious Education department.

By signing and submitting this registraiton form, you understand and agree to all policies.

Parent/Guardian*

First NameLast Name

Signature*

Today's Date*

MonthDayYear

My Products

Child 1$35.00

If you are only registering one child, please select this option

2 Children $50.00

Please select this option for 2 children

3 Children $65.00

Please select this option for 3 children

4 Children $80.00

Please select this option for 4 children

Enter coupon

Total $0.00

Payment Methods

Credit Card

Apple Pay

Google Pay