2019 Vacation Bible School Registration
St. Bernard Catholic Church
Sunday, July 14 through Thursday, July 18th, 2019
Meal for the whole family will start at 5:15pm
(Sunday night is Potluck and Monday - Thursday 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 Jody at stbernardfaithformation@gmail.org telling him of your needs.

Mom's Name
Your answer
Mom's Cell Phone
Your answer
Mom's Mailing Address
Street, Town, Zip, Sate
Your answer
Mom's Email Address
Your answer
Dad's Name
Your answer
Dad's Cell Phone
Your answer
Dad's Mailing Address (if different then mom)
Your answer
Dad's Email
Your answer
Emergency Contact (Not Parents)
Please list first and last name as well as a contact number eg (John Doe, 555-555-5555)
Your answer
Relationship of Emergency Contact to Child
Your answer
What parish does your family belong to?
Child #1 Name
(Last name only needed if different then both parents. Please list the name the child prefers being called.)
Your answer
Child #1 Sex
Child #1 Age
Child #1 Grade for 2019-2020 School Year
Child #1 T-Shirt Size
All sizes are youth sizes
Is there anything we should know about your child? (allergies, medical conditions, special needs, behavioral issues, anything else worthy of note...)
Your answer
Child #2 Name
(Last name only needed if different then both parents. Please list the name the child prefers being called.)
Your answer
Child #2 Sex
Child #2 Age
Child #2 Grade for 2019-2020 School Year
Child #2 T-Shirt Size
All sizes are youth sizes
Is there anything we should know about your child? (allergies, medical conditions, special needs, behavioral issues, anything else worthy of note...)
Your answer
Child #3 Name
(Last name only needed if different then both parents. Please list the name the child prefers being called.)
Your answer
Child #3 Sex
Child #3 Age
Child #3 Grade for 2019-2020 School Year
Child #3 T-Shirt Size
All sizes are youth sizes
Is there anything we should know about your child? (allergies, medical conditions, special needs, behavioral issues, anything else worthy of note...)
Your answer
Child #4 Name
(Last name only needed if different then both parents. Please list the name the child prefers being called.)
Your answer
Child #4 Sex
Child #4 Age
Child #4 Grade for 2019-2020 School Year
Child #4 T-Shirt Size
All sizes are youth sizes
Is there anything we should know about your child? (allergies, medical conditions, special needs, behavioral issues, anything else worthy of note...)
Your answer
Who in your family is Virtus Trained
For more info on Virtus training please email 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
Registration/Signup
Music
Group Leader
Crafts
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)
Your answer
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