SMM Vacation Bible School
Children must be 4 by July 31, 2018 to register. Three year olds may participate if a parent is able to volunteer all 5 days for VBS.
Your Name
First Name
Last Name
Your Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Your Primary Contact Phone Number
-
Area Code
Phone Number
Your Email
example@example.com
I understand Vacation Bible School cannot happen without parents volunteering. I can volunteer to help for one or more days. (Babysitting is available for volunteers' children too young for VBS)
Yes
No
How many children are you registering?
1
2
3
4
First Child's Name
Child's Last Name
Child's Name for Nametag
First Child's Age (as of 7/31) and Sex (M/F)
Age
Sex
First Child's Grade this Fall
(Students going into 6th Grade this fall will be assistant crew leaders and will receive Assistant Crew Leader T-shirts. Regular registration fee will apply.)
First Child's T-shirt Size
Youth Xtra Small (2-4)
Youth Small (6-8)
Youth Medium (8-10)
Youth Large (12-14)
Youth Xtra Large (14-16)
First Child - allergies, medical conditions, other special needs?
Second Child's Name
Child's Last Name
Child's Name for Nametag
Second Child's Age (as of 7/31) and Sex (M/F)
Age
Sex
Second Child's Grade this Fall
(Students going into 6th Grade this fall will be assistant crew leaders and will receive Assistant Crew Leader T-shirts. Regular registration fee will apply.)
Second Child's T-shirt Size
Youth Xtra Small (2-4)
Youth Small (6-8)
Youth Medium (8-10)
Youth Large (12-14)
Youth Xtra Large (14-16)
Second Child - allergies, medical conditions, other special needs?
Third Child's Name
Child's Last Name
Child's Name for Nametag
Third Child's Age (as of 7/31) and Sex (M/F)
Age
Sex
Third Child's Grade this Fall
(Students going into 6th Grade this fall will be assistant crew leaders and will receive Assistant Crew Leader T-shirts. Regular registration fee will apply.)
Third Child's T-shirt Size
Youth Xtra Small (2-4)
Youth Small (6-8)
Youth Medium (8-10)
Youth Large (12-14)
Youth Xtra Large (14-16)
Third Child - allergies, medical conditions, other special needs?
Fourth Child's Name
Child's Last Name
Child's Name for Nametag
Fourth Child's Age (as of 7/31) and Sex (M/F)
Age
Sex
Fourth Child's Grade this Fall
(Students going into 6th Grade this fall will be assistant crew leaders and will receive Assistant Crew Leader T-shirts. Regular registration fee will apply.)
Fourth Child's T-shirt Size
Youth Xtra Small (2-4)
Youth Small (6-8)
Youth Medium (8-10)
Youth Large (12-14)
Youth Xtra Large (14-16)
Fourth Child - allergies, medical conditions, other special needs?
As part of registration, each family receives a copy of the VBS theme music. Would you rather receive the music as a CD or as a downloadable MP3 file for your electronic device?
Music CD
MP3 File
Additional comments/questions plus Registration Authorization
MY CHILD(REN) HAVE PERMISSION TO PARTICIPATE IN VBS ON JULY 16 - 20. BY CLICKING SUBMIT I hereby authorize a representative of St. Margaret Mary Church (SMM) to seek medical treatment for my child(ren) in the event of an emergency in which neither parent nor the adult in whose care the minor has been entrusted can be reached. I authorize any physician or medical center to treat my child. Photo Release-Pictures of my child taken during the event may be used in print or electronic media for the purposes of publicity for future events, unless I indicate to the VBS Coordinator in writing to the contrary.Cancellation Policy-A full refund will be given if canceling before June 8, 2018. No refunds will be made after this date.
Please check the box and indicate the number of registrations
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( X )
VBS Registration
$
50.00
Quantity
1
2
3
4
Subtotal
$
0.00
Tax
$
0.00
Total
$
0.00
Submit
Should be Empty: