Vacation Bible Camp 2020
St. Elizabeth of Hungary
Camper & Counselor-in-Training Registration Form
Open Mass: Sunday, July 26, 20202 @ 10:00a.m.
Camp: Monday, July 27, 2020 - Friday, July 31, 2020 @ 8:45a.m. to 1:00p.m.
Closing Mass: Sunday, August 2, 2020 @ 10:00a.m.
Welcome to Vacation Bible Camp 2020! ROCKY RAILWAY: JESUS' POWER PULLS US THROUGH
Please fill out all sections below, so that we are sure that we have all the information needed to be prepared for the campers.
Any questions please contact: Francis Serpico Youth Minister at 631-271-4455 ex: 321 or email
Thank you for registering! We look forward to a fun filled week.
This first section will ask for information about the First Child you are registering. Sections six and seven are for any additional children you registering for Vacation Bible School. PLEASE NOTE: Parent and Emergency Contact information, as well as pick-up/drop-off information will be filled out and asked just once. It will be assumed that the information will apply to all children you are registering. If anything differs, there will be a section for additional notes.
Camper (Entering Kindergarten through 6th Grade)
Counselor-in-Training (Entering 7th or 8th Grade)
REGISTRATION FEE - $75 per Camper and/or Counselor-in-Training
Please indicate the total amount below:
Registration Fee Payment
Please select the way in which you plan to make a payment (This question is being asked so that we can confirm that we received it)
I will mail a check to St. Elizabeth of Hungary
I will pay by credit card by mailing in Credit Card Authorization Form to St. Elizabeth
I will drop-off payment to Parish Center
We can use help in decorating/preparing for camp. We can also use help from adult volunteers during camp week. Please note to help during camp week, you must be virtus trained by July.
I can help with decorating and preparing
I can volunteer to help during camp.
I will be unable to help
Child's First Name
Child's Last Name:
Child's T-Shirt Size
Youth Extra Large
Adult Extra Large
Grade Entering in Fall 2020
7th Grade (Counselor-in-Training)
8th Grade (Counselor-in-Training)
At what school will your child be enrolled in Fall 2020? We ask this question because we will make an attempt to pair them with somebody who will be in their school.
Child's Date of Birth
Allergies and/or Medical Conditions
Please list any allergies and/or medical conditions (Please type "None" if your child has no allergies/medical conditions)
Child's Primary Physician
Primary Physician's Address
Primary Physician's Phone Number
CONSENT FOR EMERGENCY TREATMENT
I understand that in case of an emergency, reasonable attempts will be made to contact me or the other parent or emergency contact listed on this registration. If unable to contact any of the above, I authorize my child’s physician listed above to act in my behalf. If reasonable attempts to contact any individuals mentioned above fail, I authorize the leadership team of the VBC Program/ Pastoral Team of the Church of St. Elizabeth of Hungary to act on my behalf. THE CHECKBOX BELOW SERVES AS MY ELECTRONIC SIGNATURE AUTHORIZING MY CONSENT FOR THE ABOVE STATEMENT.
Please check this box as your electronic signature.
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