Clone of VBS 2025: Counselor Registration Form

Clone of VBS 2025: Counselor Registration Form

Family Information
Parent/Guardian Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

City

Zip Code
Parent E-mail
Phone Number*

Area CodePhone Number
How many counselors will you be registering?
Counselors = Entering grades 6 and up in September, 2026.
Authorized to pick up counselor:
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*

Area CodePhone Number
We are parishioners of:*

Counselor 1 Information
Name

First NameLast Name
Grade as of Sep 1, 2026
Age
Gender
Allergies/Concerns/Comments
T-Shirt Size
Do you wish to register another counselor?

YesNo

Counselor 2 Information
Name

First NameLast Name
Grade as of Sep 1, 2026
Age
Gender
Allergies/Concerns/Comments
T-Shirt Size
Do you wish to register another counselor?

YesNo

Counselor 3 Information
Name

First NameLast Name
Grade as of Sep 1, 2026
Age
Gender
Allergies/Concerns/Comments
T-Shirt Size
Do you wish to register another counselor?

YesNo

Counselor 4 Information
Name

First NameLast Name
Grade as of Sep 1, 2026
Age
Gender
Allergies/Concerns/Comments:
T-Shirt Size
Do you wish to register another counselor?

YesNo

Counselor 5 Information
Name

First NameLast Name
Grade as of Sep 1, 2026
Age
Gender
Allergies/Concerns/Comments:
T-Shirt Size

Submission
You are not registered until you hit the submit button!
Should be Empty: