Mixed Online and In-Home VBS

Registration

Please fill out all required fields. The emergency contact information is not required this year since the VBS will be online with all activities completed in your homes.

Child's Name

First Name*

Last Name*

Age

Required*

Date of Birth

Required* //

Last school grade completed

Required*

Name of Parent(s)/Caregiver(s)

First Name*

Last Name*

Name of Parent(s)/Caregiver(s)

First Name

Last Name

Address

Street 1*

Street 2

City*

State*

Zip*

Phone Number

Required* --

Home e-mail address

Required*

Home Church

Required*

Allergies or other medical conditions

In case of emergency, contact

Emergency phone number

Relationship of emergency contact to child

Crew number or name (for church use only)

Photography Permission

	Please fill out this section to grant or deny the parish permission to use photos and videos of the VBS that include your child on parish social media accounts and the parish website.
Photography and Videography Permission	Required*	Please select one of the options from the drop box below.

Mixed Online and In-Home VBS

Online Giving