Vacation Bible School Registration
Registration dates: Tuesday, April 30 through Thursday, May 23
One registration form per camper
Registration is $25 per child ($26.50 online). Volunteers may purchase a shirt for $15 ($16.50 online).
ONLY those registered by noon Thursday, May 23 will receive a t-shirt.

Pay online or make checks payable to St. Leo Catholic Church.

Email address *
Participant's Name *
Your answer
Address *
Your answer
Participant will be a *
2019-2020 Grade *
Your answer
Birth Date *
MM
/
DD
/
YYYY
Medical Concerns/Allergies/Dietary Restrictions *
Your answer
What is your T-Shirt Size *
Name of Parent(s)/primary caregiver *
Your answer
Phone Numbers *
Your answer
Emergency Contact *
Your answer
Emergency Phone # *
Your answer
Church Affiliation *
Your answer
Enter your name to agree to this Liability Release: I hereby release St Leo Catholic Church and all those affiliated with St Leo Catholic Church from any liability. They will not be held responsible for any accidents or injuries that may occur during Vacation Bible School. St Leo volunteers and employees reserve the right to ask anyone to leave due to inappropriate behavior. *
Your answer
Enter your name to agree to this Photo Release: I _ [parent/guardian of the child being registered], hereby consent to and authorize the Roman Catholic Diocese of Lafayette, Louisiana, (the Diocese) and all entities, representatives, employees, and agents operating under its authority to record, use, edit, reproduce, and/or publish photographs, video, audio, and/or other media that may portray and/or relate to me [the aforementioned minor child], my [his/her] image, likeness and/or voice, without compensation. I understand that these materials may be used in various print and electronic media, including but not limited to the Diocesan website and the Diocesan publication, Acadiana Catholic, and/or for other endeavors related to Diocesan interests. I understand that the Diocese may use and/or publish materials relating to me [the aforementioned minor child] and/or use my [his/her] photograph, voice, video images, and other media relating to me [said minor child] in any manner that the Diocese deems appropriate in order to promote and/or publicize its programs, or for any other lawful purpose. This authorization shall not expire and will remain effective indefinitely until rescinded in writing. *
Your answer
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