VBS Registration Form

Vacation Bible School Registration Form

VBS is the WEEK of July 19-22, 2021 (4 Days - Monday - Thursday)
For Kids ages 3-11
Just $25 per child for the whole week
Monday - Friday 9 am - Noon with a family celebration on Thursday

Information for Child #1

* Indicates required field

Name *

First

Last

Birthdate *

Grade entering into in Sept 2021 *

Allergies or other medical conditions, including ADHA, dietary restrictions, and physical limitations: (This information helps us plan staff properly, make environmental or dietary changes ). Please also provide any Epi Pens, or special medications/snack supplements during the week of VBS. *

Information for Child #2

Name *

First

Last

Birthdate *

Grade entering into in Sept 2021 *

Information for Child #3

Name *

First

Last

Birthdate *

Grade entering into in Sept 2021 *

Information for Child #4

Name *

First

Last

Birthdate *

Grade entering into in Sept 2021 *

Parent Information

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Home Church *

Emergency Contact other than parent listed above *

First

Last

Emergency Person's Phone Number *

Contact's Relationship to Child *

Any additional comments or concerns *

PAYMENT INFORMATION

The cost is $25 per child and that covers 3 hours a day for 4 days of crafts, games, souvenirs, snacks, etc. Please make checks payable to Saint John Paul II Parish and submit separately by mail or by the first day of VBS. When you submit and end up back at the VBS page, there is a link for payment as well. Please note that your payment should be submitted under Vacation Bible School Section.

MEDIA RELEASE

Saint John Paul II Parish would like to use the name and photo of your child(ren) listed above for the purpose of announcing, promoting and reporting activities being held in our Parish or in the Community. These photos/names could be used in, but not limited to, the Hamburg Sun, Angola and Hamburg Pennysavers, Western New York Catholic, the Saint John Paul II Parish website, app, social media page and parish bulletin.

Media Release Consent *

YES, I CONSENT to using my child(ren)'s photo and name NO, I DO NOT CONSENT

Please do an online signature by typing in your full name *

Submit

​Vacation Bible School

Vacation Bible School Registration Form

PAYMENT INFORMATION

MEDIA RELEASE

Vacation Bible School