ROAR VBS Registration
Please complete this form to register your child for ROAR VBS. VBS takes place from June 23-28, 2019 from 8:30-12:30 at St. Nicholas School and is open to all incoming Kindergarteners through incoming 5th graders.

The cost per child is $100 if registration occurs before March 31, 2019; payment can be dropped off or mailed to the St. Nicholas Parish Office between the date of registration and the first day of camp. Checks should be made out to St. Nicholas and St. Williams Parish. After April 1, the cost per child is $125.

If you have any questions, please email Catherine Campbell at ccampbell@dsj.org. We look forward to having your child with us!

Student's First Name *
Your answer
Student's Last Name *
Your answer
Nickname (if applicable)
Your answer
Student's Incoming Grade (2019-2020) *
Student's Birthday (mm/dd/yyyy) *
Your answer
Student's Gender *
Address *
Your answer
Parent/Guardian #1 Name *
Your answer
Parent/Guardian #1 Relation *
Parent/Guardian #1 Email *
Your answer
Parent/Guardian #1 Cell *
Your answer
Parent/Guardian #2 Name
Your answer
Parent/Guardian #2 Relation
Parent/Guardian #2 Email
Your answer
Parent/Guardian #2 Phone
Your answer
Student T-Shirt Size (child sizes) *
Is there anyone else authorized to pick up your child? (if yes, please explain with name, phone number, and relation to child)
Your answer
Please indicate how you intend to pay for camp. *
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