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VBS: Marvelous Mysteries
July 22-26
Email address *
Participant Name *
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Age: *
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Grade in 2019-2020 *
Allergies or Medical Information *
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Parent/Guardian Name & Phone Number *
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Parent/Guardian Address *
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Emergency Contact Name & Phone Number *
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Tshirt Size *
Online Payment. Follow online giving link and write VBS in special intentions box. $15 per student with $30 max per family. *
I understand that reasonable precautions will be taken to safeguard the health and well being on the participants in this VBS and that I will be notified as soon as possible in the event of an emergency. In the case of sickness or an accident, I authorize & consent the VBS Team or other volunteers of the VBS program to obtain medical care from a licensed physician, hospital or medical clinic for my son/daughter in the event that myself or other legal guardian cannot be reached. I hereby do release and forever discharge the diocese and Parish from all manners of actions, claims which I or the child named above shall or may have for any reason, arising during my child's attendance of VBS.
Unless other written instruction is submitted, I also consent to allowing my child's image to be recorded, either by photograph or video and used during the VBS week or for future advertisement of the Parish and VBS programs. Any other use will require your further consent.
Parent or Legal Guardian Signature *
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