St. Isidore Cat Chat VBS Registration Form
Registration Fee: $15 per child/$25 family cap
Registration Deadline: June 11, 2018


Online payment is available via the St. Isidore website (link at bottom of this form) Thank you!

A Wilderness Adventure through the Sacraments
Dates and Time
June 26-28, 2018 9:00 am - 12:00 pm
Parents/Guardians
Your answer
Phone/cell
Your answer
Email Address
Your answer
Name of child 1, allergies/medical conditions and medications
Your answer
Age of child 1
Grade this Fall of child 1
Name of child 2, allergies/medical conditions and medications
Your answer
Age of child 2
Grade this Fall of child 2
Name of child 3, allergies/medical conditions and medications
Your answer
Age of child 3
Grade in Fall of child 3
Name of child 4, allergies/medical conditions and medications
Your answer
Age of child 4
Grade in Fall of child 4
Volunteer
Emergency contact information: Name
Your answer
Emergency contact information: Phone
Your answer
Consent: I understand that reasonable precautions will be taken to safeguard the health and well being of the participants in this VBS and that I will be notified as soon as possible in the event of an emergency. In the case of sickness or an accident, I authorize and consent the VBS Team, or other associated volunteers of the VBS program to obtain medical care from a licensed physician, hospital, or medical clinic for my son/daughter in the event that myself or other legal guardian(s) cannot be reached. I hereby do release and forever discharge this Diocese and Parish from all manners of actions, claims which I or the children named above shall or may have for any reason, arising during my child’s attendance of VBS. Unless other written instruction is submitted, I also consent my child’s image to be recorded, either by photograph or video, and used during VBS week or for further advertisement of Parish VBS programs. Any other use will require your further consent.
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