Most Merciful Jesus 2023 VBS Sign Up
Welcome to Mercy Parish's Totally Catholic VBS, "Stellar, Shine Jesus' Light"!!  We are excited to share a 5 day VBS with your child/ren!!!   This year we will be focusing on all the different ways Jesus shines in our lives!

Please join us for 5 days of Celebrating Jesus' Light on July 17th thru the 21st from 6:00PM to 8:00PM each day!

All rising children grades K-5 are welcome!
Youth volunteers 6th grade thru 10th grade that are interested in helping, need to contact Lisa Davis at vbs@mercyparish.church.

Adult volunteers are always welcome, please contact Lisa Davis (217/836-4769)

                  Registration closes June 11th! Hurry and sign up TODAY!

                             Please fill ONE out for EACH Child, Thank you! 
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Name of the person filling out this form *
Address (Street/City/State/Zip) *
Phone number with area code (___-___-____) *
Email Address *
Child's Name *
Child's Gender *
Child's Date of Birth *
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/
DD
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YYYY
Mother's Name *
Father's Name *
Emergency Contact Name and Relationship to Child *
Emergency Contact Phone Number with area code (___-___-____) *
Allergies/Medical Conditions/Special Needs *
Home Parish/Church *
Alternate Pick Up (First and Last Name)
Alternate Pick Up Phone Number with area code (___-___-____)
Child's Rising Grade for Fall 2022 *
Child's T-Shirt Size
X-Small
Small
Medium
Large
X-Large
2X-Large
3X-Large
Youth
Adult
Medical Release: I give my permission for the VBS staff to administer basic first aid to my child (named above) in the event of an injury. I understand that the VBS staff will contact emergency services in the event of a significant injury and all expenses for such emergency services will be paid by me.
Permission to Attend: I give permission for my child (named above) to attend the Vacation Bible School (VBS) listed above. I understand that the information I give for this registration will only be used by the VBS hosting parish, and that all registration information will be removed from the hosting site by December 31 of this year.
Media Release Form: I agree to permit photo(s) of my child (named above) present at Mercy Parish VBS 2023 be displayed by Mercy Parish Website, Mercy Parish Social Media and/or One Voice.
I understand my dues of $15 per child is to be paid in full on or before June 11, 2023. You may leave your labeled "VBS" registration fee in the collect basket or drop it off to the main church office. If you need to get in contact with someone to arrange a payment pick up, please contact Lisa Davis at 217-836-4769.  Thank you!
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