The Basilica School Vacation Bible School Registration
1st Child's Name
Your answer
Gender
Upcoming Grade
Please list any medical conditions/allergies/ or medication that will need to be administered during VBS
Your answer
2nd Child's Name
Your answer
Gender
Upcoming Grade
Please list any medical conditions/allergies/ or medication that will need to be administered during VBS
Your answer
3rd Child's Name
Your answer
Gender
Upcoming Grade
Please list any medical conditions/allergies/ or medication that will need to be administered during VBS
Your answer
Contact Information
Mother/Guardian's Name
Your answer
Mother/Guardian's Address
Your answer
Mother/Guardian's Cell Phone Number
Your answer
Mother/Guardian's Email Address
Your answer
Father/Guardian's Name
Your answer
Father/Guardian's Address
Your answer
Father/Guardian's Cell Phone Number
Your answer
Father/Guardian's Email Address
Your answer
Emergency Contact Name and Phone Number
Your answer
Additional Person(s) Authorized to Pick-Up Child(ren)
Your answer
Complete your registration by visiting the school's office and submitting:
1. Consent and Release Document
2. Registration Fee of $60 for one child, $120 for two children, or $150 for three or more children
Submit
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