VBS 2022

Fee: $175 per Child

 

  Please be sure to also scroll down and register

Child 1
Child's Name
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Age as of July 2022
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Entering Grade Sept 2022
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Any Allergies?
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T-Shirt Size
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Is this child registered for Family Program?
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Child 2
Child's Name
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Age as of July 2022
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Entering Grade Sept 2022
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Any Allergies?
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T-Shirt Size
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Is this child registered for Family Program?
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Child 3
Child's Name
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Age as of July 2022
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Entering Grade Sept 2022
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Any Allergies?
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T-Shirt Size
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Is this child registered for Family Program?
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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
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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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Please check if ...
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Home Address
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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
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Cell Phone --
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Name
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Cell Phone --
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Name
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Cell Phone --
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Who is NOT allowed to pick-up your child?
Name
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Cell Phone --
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Name
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Cell Phone --
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Name
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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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