VBS Application

VBS

Registration
Vacation Bible School 2025

St. Mark the Evangelist/ St. James/ St. Luke's / Mount Carmel/ Friends
Parent/ Guardian Name

First NameLast Name
Child #1

First NameLast Name
What grade is your child going into next school year

Pre K or KGrade 1Grade 2Grade 3Grade 4Grade 5Youth volunteer
Child #2

First NameLast Name
What grade is your child going into next school year

Pre K or KGrade 1Grade 2Grade 3Grade 4Grade 5Youth volunteer
Child #3

First NameLast Name
What grade is your child going into next school year

Pre K or KGrade 1Grade 2Grade 3Grade 4Grade 5Youth volunteer
Parent/ Guardian daytime phone number
Please enter a valid phone number.
Secondary Emergency contact phone number and relationship
Please enter a valid phone number.
What parish is the camper(s) associated with if any?
_______________________________________
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Camper's Shirt size? Adult: XS, S, M, L, XL Youth: XS, S, M, L, XL
_____________________________________________
Does your child have any food allergies or medical conditions we should know about?
Emergency Treatment:
I hearby release the director of this camp and all those associated with it St. Mark's, St. James, St. Luke's parishes and camp staff from claims on account of any injuries incurred to my child while attending camp. I give perrmission for my child to receive emergency medical care in the event that I am unavailable.
Signature of parent/ guardian:
Do you give your permission for your child to be photographed and/or video-taped?

YesNo
Should be Empty:

VBS

Vacation Bible School 2025