VBS Registration 2026

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Join us on Monday, June 29th and Tuesday, June 30th from 6PM--8PM in the Church Hall

PLEASE REGISTER EACH CHILD SEPERATELY

For older children grades 6+, please register to be a teen volunteer using the same form.

Church Name *

Child's Name (First & Last) *

Grade (entering in September) *

Kindergarten

1st

2nd

3rd

4th

5th

6+ Teen Volunteer

Address *

Parent's Cell Phone Number *

Pick-up Parent Name (First & Last) *

Pick-up Parent Phone Number *

Allergies? If Yes, please list.

Emergency Contact (not a parent) Name & Phone Number *

Permission to use photo on website/socials? *

Yes

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Roman Catholic Diocese of Syracuse.

Does this form look suspicious? Report