2024 Vacation Bible School Registration (Radical Ride: on the wings of prayer)

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Please fill out ONE registration PER child attending VBS. DEADLINE is May 26 by 12:00pm

Dates: June 3-7

Times: 9:00 - 12:00

Checks can be dropped off at the Spiritual Life Center, or in the drop box outside the SLC if after hours. Checks should be made out to Christ the King and PLEASE put VBS and child(ren)'s name in the memo. $15/child is due by June 3rd. If you would like to pay online the cost will be $16 per child. ***once you've submitted the form a confirmation page will follow with a link to pay online***

Thank you - Theodora Houchins

Email *

Child's first name *

Child's Last name *

Allergies: please indicate any known allergies or medical conditions for your child. *

Grade child will be going INTO in August for the 2024-2025 school year *

T-shirt size for child *

Snacks: Please indicate if you would be willing to help donate to snacks. You will be contacted with more information. *

Yes

Parent's first name *

Parent's last name *

Primary phone number *

Emergency Contact: Please provide someone other than person and phone number filling out this form. Thank you *

By electronically signing, you agree to the below statements.

I understand that reasonable precautions will be taken to safeguard the health and well being of the participants in this VBS and that I will be notified as soon as possible in the event of an emergency. In the case of sickness or an accident, I authorize and consent the VBS Team, or other associated volunteers of the VBS program to obtain medical care from a licensed physician, hospital, or medical clinic for my son/daughter in the event that myself or other legal guardian(s) cannot be reached. I hereby do release and forever discharge this Diocese, and Parish from all manners of actions, claims which I or the child named above shall or may have for any reason, arising during my child’s attendance of the VBS.

Unless other written instruction is submitted, I also consent to allowing my child’s image to be recorded, either by photograph or video, and used during the VBS week or for future advertisement of Parish VBS programs. Any other use will require your further consent.

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