Rocky Railway VBS Registration
Please complete this form to register your child for ROAR VBS. VBS takes place from June 22 - 26, 2020 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 $105 until March 31 and $130 after April 1; 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. If you prefer you may also use the PayPal on the stnicholasandstwilliam.org/vacation-bible-camp page.

If you have any questions, please email Catherine Campbell Raffa at catherine.raffa@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 (2020-2021) *
Student's Birthday (mm/dd/yyyy) *
Your answer
Student's Gender *
Address *
Please include city and zip code as well
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
Please provide as much information as possible, in case there is an emergency and we need to get in touch with you!
Your answer
Student T-Shirt Size (child sizes) *
Is there anyone else authorized to pick up your child, other than the parent/guardian(s) listed above? (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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