VBS 2023

June 26-June 30 9:30 am-12:15 pm
 

Students grades 1st-4th
(entry into 1st grade and completion of 4th grade by September of 2023)

Fee: $175 per child

For information or questions contact Kim Santerre
at 845-279-5164 or email slotvbs@gmail.com

Scroll Down to Register by JUNE 1st

 

  Please be sure to also scroll down and register

Child 1
Child's Name
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Grade in School Fall 2023
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Address
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E-mail
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Age July 2023
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Phone --
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T-Shirt Size
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Payment Type
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Child 2
Child's Name
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Grade in School Fall 2023
  •  
Address
  •  
E-mail
  •  
Age as of July 2023
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Phone --
  •  
T-Shirt Size
  •  
Payment Type
  •  
Child 3
Child's Name
  •  
Grade in School Fall 2023
  •  
Address
  •  
E-mail
  •  
Age as of July 2023
  •  
T-Shirt Size
  •  
Payment Type
  •  
Mother's/Guardian's Information
Name
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Cell Phone to receive notification texts --
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Please select if...
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Home phone number (optional) --
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Home Address
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Email Address
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Are you’re a registered parishioner at St. Lawrence or Sacred Heart?
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Father's Information
Name
  •  
Cell Phone to receive notification texts --
  •  
Please select if...
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Home phone number (optional) --
  •  
Please check if ...
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Home Address
  •  
Please check if...
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E-mail Address
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Are you’re a registered parishioner at St. Lawrence or Sacred Heart?
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Who is allowed to pick-up your child?
Name
  •  
Cell Phone --
  •  
Name
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Cell Phone --
  •  
Name
  •  
Cell Phone --
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Who is NOT allowed to pick-up your child?
Name
  •  
Cell Phone --
  •  
Name
  •  
Cell Phone --
  •  
Name
  •  
Cell Phone --
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Emergency Information
If your child carries an EpiPen, leaves us a note here
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In case your child is injured and we cannot contact you, we will call 911 and take your child to the nearest hospital.
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Additional Note on Health Concerns:
Comments
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Parent/Guardian Signature
Date //
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Checking this box serves as your signature
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CAPTCHA
Spam Capture
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