St. Matthias VBS NEW Registrant 2025
July 29th-July 31st; 9am- 12:30pm; Age 4 to Rising 7th graders; Registration closes April 27th; all payments are due by Sunday April 27th
Number of children you're registering from your family
*
Please Select
1
2
3
4
5
For each child you are registering, please list (A) their name (B) their gender (C) their full Birthdate [D] and their T-shirt Size [Youth XS, Youth S, Youth M, Youth L, Adult Small]
*
Is there any medical information we need to know for any of the children you are registering, including allergies? (Type N/A if not applicable)
*
Anything additional you would like us to know?
Name of a Parent/Guardian
*
First Name
Last Name
Name of a 2nd Parent/Guardian (optional)
First Name
Last Name
Parent 1 Cell or Home phone number
*
Please enter a valid phone number.
Parent 2 Cell or Home phone number (optional)
Please enter a valid phone number.
Work Number (optional)
Please enter a valid phone number.
E-mail address
*
Emergency Contact if Parent(s) cannot be reached
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
People other than parent listed above who is allowed to pick up your child after dismissal (optional)
CHECK BOXES on left for ALL children you are registering
*
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( X )
Register a First child
$
25.00
Register a Second child
$
25.00
Register a Third child
Discounted registration fee for 3 or more children from a single family
$
15.00
Register a Fourth child
Discounted registration fee for 3 or more children from a single family
$
15.00
Register a Fifth child
Discounted registration fee for 3 or more children from a single family
$
15.00
Request Scholarship
You will be contacted
$
Free
How do you plan to pay the amount totaled above?
*
Via check in the offering plate
Via cash in labeled envelope in offering plate
Via check to P.O. Box 26, Oakdale, CA 95361
Via the PayPal link on the next page (select VBS in drop-down menu)
Do you understand that the registration deadline, including all payment is April 27?
*
Yep, got it!
Pictures are a great way to remember special, fun and significant moments. I give St Matthias permission to take pictures or video of my child/children for crafts, church displays and program celebration videos presented at VBS or/and on the Church Website.
*
Yes, I do give permission for my child's photo/video to be taken
No, I do not give permission for my child's photo/video to be taken.
Additional Comments (optional)
Read the Parent Consent & Liability Release and Well-Child Policy found at
this link
.
Regarding the Parent Consent & Liability Release and Well-Child Policy listed at the link above...
*
I have read and agree to Parent Consent & Liability Release and Well-Child Policy.
Please Sign Below
*
Submit
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