St. Bernard of Clairvaux Catholic Church 2026 Vacation Bible School Registration
Please fill out the form below to register each child ages 4-11 in our Summer VBS program! Date: June 22-26 Time: 9 am-12 pm
Parent Name
*
First Name
Last Name
Role
*
Please Select
Father
Mother
Guardian
Step Father
Step Mother
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent Name
First Name
Last Name
Role
Please Select
Father
Mother
Guardian
Step Father
Step Mother
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Email Address
*
example@example.com
Secondary Email Address (optional)
example@example.com
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Child's Full Name
*
First Name
Last Name
Child's Birthdate
*
-
Month
-
Day
Year
Date
Age Group of the Child or Youth
*
Please Select
4
5
6
7
8
9
10
11
Child's T-shirt Size
*
Please Select
YXS
YS
YM
YL
YXL
AS
AM
Click to add more children
Child's Full Name
First Name
Last Name
Child's Birthdate
-
Month
-
Day
Year
Date
Age Group of the Child or Youth
Please Select
4
5
6
7
8
9
10
11
Child's T-shirt Size
Please Select
YXS
YS
YM
YL
YXL
AS
AM
Child's Full Name
First Name
Last Name
Child's Birthdate
-
Month
-
Day
Year
Date
Age Group of the Child or Youth
Please Select
4
5
6
7
8
9
10
11
Child's T-shirt Size
Please Select
YXS
YS
YM
YL
YXL
AS
AM
Child's Full Name
First Name
Last Name
Child's Birthdate
-
Month
-
Day
Year
Date
Age Group of the Child or Youth
Please Select
4
5
6
7
8
9
10
11
Child's T-shirt Size
Please Select
YXS
YS
YM
YL
YXL
AS
AM
Child's Full Name
First Name
Last Name
Child's Birthdate
-
Month
-
Day
Year
Date
Age Group of the Child or Youth
Please Select
4
5
6
7
8
9
10
11
Child's T-shirt Size
Please Select
YXS
YS
YM
YL
YXL
AS
AM
Child's Full Name
First Name
Last Name
Child's Birthdate
-
Month
-
Day
Year
Date
Age Group of the Child or Youth
Please Select
4
5
6
7
8
9
10
11
Child's T-shirt Size
Please Select
YXS
YS
YM
YL
YXL
AS
AM
Child's Full Name
First Name
Last Name
Child's Birthdate
-
Month
-
Day
Year
Date
Age Group of the Child or Youth
Please Select
4
5
6
7
8
9
10
11
Child's T-shirt Size
Please Select
YXS
YS
YM
YL
YXL
AS
AM
Child's Full Name
First Name
Last Name
Child's Birthdate
-
Month
-
Day
Year
Date
Age Group of the Child or Youth
Please Select
4
5
6
7
8
9
10
11
Child's T-shirt Size
Please Select
YXS
YS
YM
YL
YXL
AS
AM
Child's Full Name
First Name
Last Name
Child's Birthdate
-
Month
-
Day
Year
Date
Age Group of the Child or Youth
Please Select
4
5
6
7
8
9
10
11
Child's T-shirt Size
Please Select
YXS
YS
YM
YL
YXL
AS
AM
Child's Full Name
First Name
Last Name
Child's Birthdate
-
Month
-
Day
Year
Date
Age Group of the Child or Youth
Please Select
4
5
6
7
8
9
10
11
Child's T-shirt Size
Please Select
YXS
YS
YM
YL
YXL
AS
AM
Back
Next
Any Special Needs, Medical Conditions, or Allergies: Please indicate which child
Click here to view permission waiver
You will need to check your email to sign the document.
Type yes if you signed your Docusign waiver via email (see above).
*
Parent or Guardian Signature
*
Consent to Data Use and Participation Policies
*
I agree to the data use policy.
I agree to participate in faith formation activities.
Register Now
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