2025 Vacation Bible School Registration
Child # 1 Name
First Name
Last Name
Grade in September of 2025
Child's T-shirt size
Child # 2 Name
First Name
Last Name
Grade in September of 2025
Child's T-shirt size
Child # 3 Name
First Name
Last Name
Grade in September of 2025
Child's T-shirt size
Child # 4 Name
First Name
Last Name
Grade in September of 2025
Child's T-shirt size
Child # 5 Name
First Name
Last Name
Grade in September of 2025
Child's T-shirt size
Please give medical information about your child'(s) (allergies, medications, etc) which may be pertinent to his or her participation in this activity.
Parent Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number/ emergency contact
Please enter a valid phone number.
I hereby consent that any image in which I or my child appear, may be used by SMV to support recruitment or other communication efforts. I release the staff and volunteers and understand and agree that use of my picture is not an invasion of privacy.
I consent
$50 per child. Cash or Checks ONLY (made out to St. Mary's Visitation). Please drop off at Parish Office. MUST include on the memo line: VBS or label cash envelope "VBS" with your First and Last Name.
There are no refunds for this event. Payments must be received by May 1st, 2025 to secure your spot.
Submit
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