VBS Registration Form

Vacation Bible School 2025

Parent Name *

Address *

Address

City

State/Province

Zip/Postal

Home Phone *

Work Phone *

Cell Phone *

E-mail

Names of Children Attending

Name *

Birth Date *

Grade Just Completed *

Add Remove

Emergency Contacts

Name *

Phone *

Add Remove

Permission to transport child to emergency room and/or doctor: *

Yes

If "No", please advise us of your wishes:

Photo Consent:

As a parent/guardian, I understand that pictures may be taken during this event. I give permission for my son/daughter's picture to be taken and used for a slideshow at the end of the week. (These pictures will not be used for any other purpose.) *

Yes

Name of Person(s) picking up your child(ren) at 12:00 PM each day *

Add Remove

Tuition

Registration fee is $35.00 per child (includes snack and program materials.)

Cash Payments must be returned to the Parish office Monday-Thursday from 9:00 AM - 4:00 PM.

Checks must be made payable to St. James VBS and deposited in the drop box outside the Parish office. Please write in the memo section of the check "for VBS" with your child's name.

***Online Payments will not be utilized this year.***

Parents Signature *

Date *

If you are human, leave this field blank.