2026 VBS Registration

  • VBS Participant Registration

    Please fill out this form once for each child. Registrations are due June 20, 2026.

  • June 22-26, 2026 from 9am–noon at St. Vivian Campus

    Children age 3 through incoming 5th grade are welcome! Preschool students must be 3-4 years old, have experience in a classroom environment, and be potty trained. Cost is $20 per student with a max of $40 per family.
  • Date of Birth*
     - -
  • Gender*

  • Parent/Guardian Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
    • Parent 2 Information - Not required, but helpful 
    • Format: (000) 000-0000.
    • Format: (000) 000-0000.

  • Emergency Contact

  • Format: (000) 000-0000.

  • Other Adult(s) Authorized to pick up my child from VBS

  • Permissions

  • We give permission to receive text notifications.*
  • I hereby grant permission for nonprescription medications (such as pain reliever, throat lozenges, cough syrup, imodium, etc.) to be given to my Child, if deemed advisable.*
  • I agree that Our Lady of Divine Providence Family of Parishes and/or the Archdiocese may use my Child’s portrait or photograph for promotional purposes, website, and office functions.*
  • Format: (000) 000-0000.
    • Activity Information - Other forms may be required for other activities. 

    • One-Time Program - Vacation Bible School

      Adult in charge of activity: Mrs. Alexis Rutledge

      Emergency Phone number: 513-728-4331

      Days and Times: June 22-26, 2026. Monday-Friday from 9:00am-12:00pm. 

      Registration Fee: $20

      General activities involved: songs, prayer, small groups, games/fun activities, formation/teaching, crafts, food, etc.

      Method of transportation: None

      Location: St. Vivian Campus- 7600 Winton Rd., Cincinnati, OH 45224, 855 Denier Pl. Cincinnati, OH 45224

  • Permission, Release, and Authorization to
    Seek Medical Treatment Form

    1.        I, the custodial parent/legal guardian of {youthName} (the “Child”), give permission for my Child to participate in the activity described on the Activity Information (above) and release from all liability, indemnify, and hold harmless Our Lady of Divine Providence Family of Parishes (Assumption, St. Bartholomew, St. Bernard, St. Clare, & St. Vivian), the Archdiocese of Cincinnati (the “Archdiocese”), the Archbishop of Cincinnati (the “Archbishop”), both individually and as trustee for the Archdiocese, all parishes and schools within the Archdiocese, and all of their agents, representatives, volunteers, and employees from any and all liability, claims, judgments, damages, costs and expenses, including attorneys’ fees, arising out of any injury, illness, infectious and/or communicable disease (such as MRSA, influenza, or COVID-19), or death, (including any injury, illness, infectious and/or communicable disease, or death caused by the negligence of Parish and School, the Archbishop, the Archdiocese, any parish or school within the Archdiocese, or any of their agents, representatives, volunteers, or employees) incurred by my Child while participating in the Activity, traveling to or from the Activity, or while using the facilities and equipment of the Parish and School. I further agree not to bring or prosecute or allow to be brought or prosecuted (including, but not limited to, prosecution through subrogation) in my name, or on behalf of my Child, any claims, lawsuits, or actions against Parish and School, the Archbishop, the Archdiocese, all parishes and schools within the Archdiocese, or their agents, representatives, volunteers, and employees.

    2.       I understand that my Child’s participation in the Activity is purely voluntary and is a privilege and not a right, and that my Child, and I on behalf of my Child, agree to my Child’s participation in the Activity in spite of the risks of injury, illness, infectious and/or communicable disease (such as MRSA, influenza, or COVID-19), and death.  I agree that if my Child has underlying heath concerns which may place him/her at greater risk of contracting COVID-19 or that would possibly increase the severity of illness if COVID-19 is contracted, then my Child and I will consult with a health care professional before participating in the Activity.

    3.       I agree to instruct my Child to cooperate with the agents of Parish and School and/or the Archdiocese who are in charge of the Activity.

    4.       I authorize the agents of Parish and School and/or the Archdiocese who are acting as leaders of the Activity to seek medical treatment for my Child in the event of any injury, illness, or medical emergency during the Activity or related travel.  I understand that the agents of Parish and School and/or the Archdiocese will make a reasonable attempt to contact me as soon as possible in the event of a medical emergency involving my Child.

    5.       Please indicate.  {iHereby57} that Our Lady of Divine Providence Family of Parishes and/or the Archdiocese may use my Child’s portrait or photograph for promotional purposes, website, and office functions.

    6.       This Permission, Release, and Authorization is intended to be as broad and inclusive as permitted by the law of the State of Ohio, and if any portion hereof is declared invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.  This Permission, Release, and Authorization shall be construed in accordance with the laws of the State of Ohio, excluding, and irrespective of, any choice of law principles to the contrary.

    7.       Parish and School, the Archdiocese, the Archbishop and their agents, employees, and volunteers shall have no liability whatsoever in the event the Activity is cancelled due, in whole or in part, to any present or future pandemic, epidemic, widespread disease or illness, public health concern, or circumstances arising therefrom, or from actions taken by any governmental or municipal authority to prevent, avoid, or mitigate the impacts thereof.

    I have carefully read and understand and accept the terms and conditions stated herein and I acknowledge and agree that this Permission, Release, and Authorization to Seek Medical Treatment shall be effective and binding upon me, my Child, and our personal representatives, estates, assigns, heirs, and next of kin. I have signed below of my own free will.

  • Date Signed*
     - -
  • Parents/Guardians: Help is needed with VBS. Please consider helping. All adults must have SafeParish training and background check.
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