JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
St. Mary VBS summer 2024 registration
Tuesday, July 16th- Friday, July 19th
EACH CHILD AND VOLUNTEER NEEDS TO BE REGISTERED INDIVIDUALLY!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Child's Name
*
Your answer
Child's grade for upcoming school year
*
kindergarten
grade 1
grade 2
grade 3
grade 4
grade 5
grade 6
student volunteer (grade 7 and older)
Child's t-shirt size
*
youth small
youth medium
youth large
adult small
adult medium
adult large
adult x-large
Child's allergies
*
Your answer
Parent Name
*
Your answer
Parent Email
*
Your answer
Parent Cell Phone Number
*
Your answer
Family Dentist Name and Number
*
Your answer
Family Doctor Name and Number
*
Your answer
CONSENT TO TREAT
I authorize my child(ren) listed to receive medical treatment if required in an emergency.
*
yes
no
I authorize VBS photos that may include my child(ren) to be displayed digitally or in hard copy.
yes
no
Clear selection
Accommodations needed in order to meet the needs of my child(ren)- please specify.
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Hopewell-Loudon Schools.
Report Abuse
Forms
