VBS Participant Registration Form
St Paul-St Elizabeth- Holy Rosary Catholic Churches
Child's Name
Your answer
Child's Gender
Child's Age
Your answer
Date of Birth
MM
/
DD
/
YYYY
Grade Entering
Shirt Size- Youth
Name of Parent (s)
Your answer
Street Address
Your answer
City
Your answer
Zip
Your answer
Home Phone
Your answer
Parent/ Caregiver's Cell Phone
Your answer
Home Email Address
Your answer
Home Church
Your answer
Allergies or medical conditions
Your answer
In case of emergency contact:
Your answer
Phone
Your answer
Relationship to child
Your answer
Photo Release Permission
I hereby give permission for pictures and/or video/recordings of my child(ren) engaged in activities related to Faith Formation or Parish Events to be posted/published within St. Elizabeth Catholic Church's various media forms. I understand that this includes, but is not limited to, the parish bulletin, Facebook page, Instagram accounts, Twitter feed, bulletin boards, monitors on property, and for use within parish/formation activities themselves. I also understand that my child(ren)'s full name will never be publicly associated with the photo.
Cost per child: $20
Pay by check. Payable to your parish with VBS in the memo section. Scholarships are available.
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