St. Matthias VBS NEW Registrant 2025

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*
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 NameLast Name
Name of a 2nd Parent/Guardian (optional)

First NameLast 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 NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / 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*
prevnext( 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



Total

$0.00
Via check in the offering plateVia cash in labeled envelope in offering plateVia check to P.O. Box 26, Oakdale, CA 95361Via the PayPal link on the next page (select VBS in drop-down menu)
Yep, got it!
Yes, I do give permission for my child's photo/video to be takenNo, 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.
I have read and agree to Parent Consent & Liability Release and Well-Child Policy.
Please Sign Below*
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