Vacation Bible School Registration

Parent/Guardian First & Last Name REQUIRED Please fill out this field. Please enter valid data.

Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Email REQUIRED Please fill out this field. Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Child's Name (First & Last) REQUIRED Please fill out this field. Please enter valid data.

Gender REQUIRED Male Female Please fill out this field.

Grade in Fall of 2023 REQUIRED Please fill out this field.

T-Shirt Size REQUIRED Please fill out this field.

Child's Name (First & Last) Please enter valid data.

Gender Male Female

Grade in Fall of 2023

T-Shirt Size

Child's Name (First & Last) Please enter valid data.

Gender Male Female

Grade in Fall of 2023

T-Shirt Size

I am willing to be a parent volunteer for VBS REQUIRED Yes No Please fill out this field.

If yes, T-shirt size

I have a teen who would like to volunteer for VBS (must be 6th grade or older) REQUIRED Yes No Please fill out this field.

Teen Name Please enter valid data.

Teen Grade in Fall of 2023

Teen Email Please enter an email address.

I, as parent/guardian of the child(ren) named above, I absolve Holy Cross Catholic Church, their employees and volunteers from any liability while the child(ren) participate in Vacation Bible School. I authorize the assigned to provide emergency medical care should the need occur while the child(ren) participate in the activities. Photos of my child(ren) may be used for promotional purposes (no names will be used).

I Agree Please select this field.

Parent Signature REQUIRED Please fill out this field. Please enter valid data.

If I am not available in the case of an emergency, notify REQUIRED Please fill out this field. Please enter valid data.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Relationship to Child REQUIRED Please fill out this field. Please enter valid data.

Registration + Credit Card Fee REQUIRED Please fill out this field.

Email REQUIRED Please fill out this field. Please enter an email address.