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:

New Field:

Message:

Please list any allergies, medical conditions, or special needs

New Field:

Emergency Contact Phone:

New Field:

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

Pay Online using the link provided upon submitting your registration form

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.

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VBS Child Registration Form

VBS Child Registration Form

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