VBS Registration

2023 Vacation Bible School Registration

Parent(s) Name

First Name*

Last Name*

Address

Street 1*

Street 2

City*

State*

Zip*

E-mail

Required*

Cell Phone

Required* --

Home Phone

Emergency Contact

Emergency Contact Name

First Name*

Last Name*

Emergency Contact Phone

Required* --

Relationship to child

Required*

I want to volunteer

Adults (18 and over) who have completed PROTECTING GOD'S CHILDREN are welcome to volunteer to help. High School helpers (under 18 years old) need adult permission and need to complete an "APPLICATION FORM FOR MINORS SERVING AS VOLUNTEERS." Volunteers are needed in these areas: * Group Leaders * Games * Snacks * Crafts * Song Leaders

Name

First Name

Last Name

I would like to volunteer! Please contact me!

E-mail

Phone Number

Age

Area I would like to volunteer:

Child 1

Child's Name

First Name*

Last Name*

Child's Age

Required*

Child's Grade in 2023-24

Required*

Allergies or other medical conditions

(please put "none" if this is not applicable)*

Child 2

Child's Name

First Name

Last Name

Child's Age

Child's Grade in 2023-24

Allergies or other medical conditions

(please put "none" if this is not applicable)

Child 3

Child's Name

First Name

Last Name

Child's Age

Child's Grade in 2023-24

Allergies or other medical conditions

(please put "none" if this is not applicable)

Child 4

Child's Name

First Name

Last Name

Child's Age

Child's Grade in 2023-24

Allergies or other medical conditions

(please put "none" if this is not applicable)

Publication of Child Images and Signature

The Faith Formation Office may take and produce images of the students and their work that may be used for educational or marketing purposes of only St. Irene Religious Education and Faith Formation. These images may be used in the bulletin, website or other publications of the Faith Formation Office

Permission
Required*

	Yes, pictures of my child(ren) are permitted.
	No, pictures of the child(ren) are NOT permitted.

Message

Clicking "YES" below and submitting this form constitutes your digital signature. Once you submit this form, You will receive a confirmation with the information you submitted.

Parent Signature
Required*

I acknowledge that as the parent/guardian, this information will be submitted to the parish for use in registration for 2022 VBS.*

Yes

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