OUR LADY OF HOPE - VBS Registration (July 7th - 11th, 9am

OUR LADY OF HOPE - VBS Registration (July 7th - 11th, 9am - 12pm)

Please fill out all required fields to register your children for the Vacation Bible School.
Parent's Name

First NameLast Name
(Parishioner of)
Your church name
(Cell #)
Please enter a valid phone number.Format: (000) 000-0000.
(Work #)
Please enter a valid phone number.Format: (000) 000-0000.
(E-MAIL ADDRESS)
example@example.com
(Home Address)

Street Address

Street Address Line 2
CityState Zip Code
(Secondary Emergency Contact)
(Relation to Child/ren)
(Phone #) (Emergency Contact)
Please enter a valid phone number.Format: (000) 000-0000.
(Names of People Allowed to Pick Up the Child/Children)
(Child #1 Name)
(Date of Birth) (Child #1)

MonthDayYear
Date
(2025-2026 SY Grade)
(Health Info/Allergies) (Child #1)
(Child #2 Name)
(Date of Birth) (Child #2)

MonthDayYear
Date
(2025-2026 SY Grade) (Child #2)
(Health Info/Allergies) (Child #2)
(Child #3 Name)
(Date of Birth) (Child #3)

MonthDayYear
Date
(2025-2026 SY Grade) (Child #3)
(Health Info/Allergies) (Child #3)
(Child #4 Name)
(Date of Birth) (Child #4)

MonthDayYear
Date
(2025-2026 SY Grade) (Child #4)
(Health Info/Allergies) (Child #4)
(Comments)
PARENT SIGNATURE : By digitally signing this form, I give permission to the staff to seek medical attention for my child if necessary during VBS activities. I understand necessary precautions will be taken to ensure my child's safety. I will not hold the church, its staff, volunteers, and all supervisors liable. I give permission for my child to be photographed or video taped for lawful use in church publications. I understand that there is no compensation for use of photos/videos.
Date

MonthDayYear
Today's Date

My Products

VBS registration fee

cost per child

$25.00 Quantity
Item subtotal:

Total

Credit Card

Should be Empty:

OUR LADY OF HOPE - VBS Registration (July 7th - 11th, 9am - 12pm)

My Products

Credit Card