VBS Registration Vacation Bible School Registration Vacation Bible School Registration VBS Registration deadline is Wednesday, June 21, 2025 Children Child #1 Name Child #1 Name First First Last Last Child #1 Grade - SELECT -PreK (Age 3)*PreK (Age 4-5)*Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th GradeI would like to Volunteer! Child #1 nickname Child #1 Allergies or Accommodations Child #2 Name Child #2 Name First First Last Last Child #2 Grade - SELECT -PreK (Age 3)*PreK (Age 4-5)*Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th GradeI would like to Volunteer! Child #2 nickname Child #2 Allergies or Accommodations Child #3 Name Child #3 Name First First Last Last Child #3 Grade - SELECT -PreK (Age 3)*PreK (Age 4-5)*Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th GradeI would like to Volunteer! Child #3 nickname Child #3 Allergies or Accommodations Child #4 Name Child #4 Name First First Last Last Child #4 Grade - SELECT -PreK (Age 3)*PreK (Age 4-5)*Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th GradeI would like to Volunteer! Child #4 nickname Child #4 Allergies or Accommodations Mother (or Guardian) Mother's Name Mother's Name First First Last Last Mother's Email Mother's Phone Mother's Address Mother's City Mother's Zip Father (or Guardian) Father's Name Father's Name First First Last Last Father's Email Father's Phone Father's Address Father's City Father's Zip Emergency Contact (other than Parent or Guardian) Emergency Contact Person's name Emergency Contact Person's name First First Last Last Emergency Contact's Email Emergency Contact's Phone Relationship to Child Person permitted to drop-off/pick-up Permission to drop-off/pick-up Permission to drop-off/pick-up First First Last Last Email Phone Relation to Child Permission to drop-off/pick-up Permission to drop-off/pick-up First First Last Last Email Phone Relation to Child Photography Consent * I understand that photographs may be taken and published in print or social media for the purpose of promoting St. Patrick's Church programs. Any additional comments? Signature Clear Captcha Submit If you are human, leave this field blank.
