VBS Child Registration Form

Child's Full Name:

Child's Gender:

Male

Female

Child's Age:

Child's Date of Birth:

Name of Parent/Guardian Registering Child

Full Address:

Primary Phone:

Email:

Cell Phone:

Primary Church You Attend:

Please list any allergies, medical conditions, or special needs

Emergency Contact Name:

Emergency Contact Phone:

Emergency Contact Relationship to Child:

The cost for VBS is $60/child. Please select one of the following options for your payment method:

Pay Online - you will receive a link upon registration

Check Payable to St. Joseph Catholic Church (drop off to Parish Office)

Photography Consent

I grant permission to St. Joseph Catholic Church to use images or other electronic media of my child taken at VBS for the promotion of the church and its ministries.

I do not give permission to St. Joseph Catholic Church to use images or other electronic media of my child taken at VBS.

MENU

VBS Child Registration Form

VBS Child Registration Form

Quick Links

Contact us

Parish:

School:

Engage | Encounter | Transform