VBS Child Registration Form

For Vacation Bible School June 12-16, 2023

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VBS Child Registration Form For Vacation Bible School June 12-16, 2023

Child's Name(Required)

First Last

Child Gender(Required)

Male

Female

Child's Age(Required)

Date of Birth(Required)

MM slash DD slash YYYY

School Grade for 2023-2024 School Year(Required)

Kindergarten

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

Name of Parent/Guardian Registering Your Child(Required)

First Last

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Home Phone(Required)

Cell Phone(Required)

Email(Required)

Primary Church You Attend

Please list allergies, medical conditions, or special needs

Emergency Contact Name(Required)

Emergency Contact Phone(Required)

Emergency Contact Relationship To Child(Required)

The cost for VBS is $45 per child. Please select one of the following options for your payment method(Required)

Pay Online (Use link provided upon submitting your registration form)

Cash (Drop off at the parish office)

Check (Drop off at the parish office)

I am in need of financial assistance

Name

This field is for validation purposes and should be left unchanged.

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Parish:
104 W Broadway St Maumee, OH 43537
(419) 893-4848
School:
112 W Broadway St Maumee, OH 43537
(419) 893-3304

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Safe Environment Compliance Statement

Each year, the Diocese of Toledo is required to undergo an audit to ensure that it is in compliance with the articles of the United States Conference of Catholic Bishops’ Charter for the Protection of Children and Young People. This year’s audit examined the audit period of July 1, 2018 through September 30, 2021. Bishop Daniel Thomas is pleased to announce that the Diocese was found to be in full compliance with the requirements in the Charter following the audit.

The Diocese of Toledo remains committed to ensuring the protection of children and providing a safe environment for all young people. If you have any knowledge of abuse that has been committed by a cleric or by any personnel of the Catholic Church, you are urged to report the abuse to your local police department, Children Services, and to contact the Diocesan Victim Assistance Coordinator at (419) 214-4880; or to write to the Diocesan Victim Assistance Coordinator at 1933 Spielbusch Avenue, Toledo, Ohio 43604.

VBS Child Registration Form

For Vacation Bible School June 12-16, 2023

Parish:

School:

Safe Environment Compliance Statement