2021 Vacation Bible School Registration
St. Bernard Catholic Church
Sunday, July 18 through Thursday, July 22nd, 2021
Meal for the whole family will start at 5:30pm
(Dinner Sunday night is Potluck and Monday - Thursday's Dinners will be provided by various church groups)
VBS program will be from 6-8pm

Cost: $25 per child with a family cap of $75. No one will be turned away due to an inability to pay. Should you need assistance in paying for VBS please register then email Dcn Jody at stbernardfaithformation@gmail.org telling him of your needs.
Mom's Name (First and Last)
Mom's Cell Phone
Mom's Mailing Address
Street, Town, Zip, Sate
Mom's Email Address
Dad's Name
Dad's Cell Phone
Dad's Mailing Address (if different then mom)
Dad's Email (If different then mom)
Emergency Contact (Not Parents)
Please list first and last name as well as a contact number eg (John Doe, 555-555-5555)
Relationship of Emergency Contact to Child
What parish does your family belong to?
Clear selection
Child #1 Name
(Last name only needed if different then both parents. Please list the name the child prefers being called.)
Child #1 Sex
Clear selection
Child #1 Age
Child #1 Grade for 2021-2022 School Year
Child #1 T-Shirt Size
All sizes are youth sizes
Clear selection
Is there anything we should know about your child? (allergies, medical conditions, special needs, behavioral issues, anything else worthy of note...)
Child #2 Name
(Last name only needed if different then both parents. Please list the name the child prefers being called.)
Child #2 Sex
Clear selection
Child #2 Age
Child #2 Grade for 2021-2022 School Year
Child #2 T-Shirt Size
All sizes are youth sizes
Clear selection
Is there anything we should know about your child? (allergies, medical conditions, special needs, behavioral issues, anything else worthy of note...)
Child #3 Name
(Last name only needed if different then both parents. Please list the name the child prefers being called.)
Child #3 Sex
Clear selection
Child #3 Age
Child #3 Grade for 2021-2022 School Year
Child #3 T-Shirt Size
All sizes are youth sizes
Clear selection
Is there anything we should know about your child? (allergies, medical conditions, special needs, behavioral issues, anything else worthy of note...)
Child #4 Name
(Last name only needed if different then both parents. Please list the name the child prefers being called.)
Child #4 Sex
Clear selection
Child #4 Age
Child #4 Grade for 2021-2022 School Year
Child #4 T-Shirt Size
All sizes are youth sizes
Clear selection
Is there anything we should know about your child? (allergies, medical conditions, special needs, behavioral issues, anything else worthy of note...)
Who in your family is Virtus Trained
For more info on Virtus training please email Deacon Jody at stbernardfaithformation@gmail.com
Is anyone in your family available to help with VBS? If so please indicate both who could help and in what capacity. Helping is encouraged but not required and anyone 18 or older assisting would need to have completed a Virtus training session.
Mom
Dad
Other Family Member
Faith Lessons
Games
Crafts
Music
Group Leader
Registration/Signup
Set-up/Tear-down
Photo/Videography
Anywhere you might need help
If you listed another family member would like to help please list their name and contact info below... (John Doe, 555-555-5555, johndoe@email.com)
What size tee shirt does any adult wanting to assist wear? If youth sizes needed note that below.
Clear selection
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