VBS 2024 CAPTAIN'S REGISTRATION (Incoming 6th-8th Grade only)

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DETECTIVE ACADEMY & The Mystery of the Mass

Holy Redeemer Vacation Bible School 2024

CAPTAINS WEEK: Tuesday June 18 - Friday June 21 (INCLUDES CAPTAIN'S RETREAT SLEEPOVER ON 6/20)

VBS WEEK: Monday June 24 - Thursday June 27, 1pm to 4pm with the last day ending at 5pm.

***PLEASE FILL OUT ONE FORM PER CAPTAIN

***ONCE YOUR CAPTAIN REGISTRATION IS COMPLETED, PLEASE PRINT OUT THE PARENT/CAPTAIN SIGNATURE PAGE AND TURN IN TO HOLY REDEEMER PARISH OFFICE. ONCE THAT INFORMATION IS RECEIVED, YOU WILL RECEIVE A WELCOME EMAIL WITH MORE INFORMATION.

*** KIDS K-5TH GRADE, HIGH SCHOOL OR ADULT VOLUNTEERS PLEASE SEE SEPARATE REGISTRATION ON THE HOLY REDEEMER VBS WEBPAGE (holyredeemerburton.org/vbs).

CAPTAIN LAST NAME: *

CAPTAIN FIRST NAME: *

GENDER: *

MALE

FEMALE

GRADE ENTERING THIS COMING YEAR: *

SIXTH GRADE

SEVENTH GRADE

EIGHTH GRADE

HOME PARISH (IF APPLICABLE):

ALLERGIES (IF ANY):

SPECIAL NEEDS INCLUDING BEHAVIORIAL ISSUES: *

T-SHIRT SIZE (We will try our best to get your child a free VBS t-Shirt but we cannot assure this for all those who sign up after JUNE) *

YOUTH SMALL

YOUTH MEDIUM

YOUTH LARGE

ADULT SMALL

ADULT MEDIUM

ADULT LARGE

ADULT XL

ADULT 2XL

ADULT 3XL

STREET ADDRESS (WHERE CAPTAIN RESIDES): *

CITY: *

STATE: *

ZIP CODE: *

FATHER'S FIRST NAME: *

FATHER'S EMAIL ADDRESS: *

FATHER'S PHONE #: *

MOTHER'S FIRST NAME: *

MOTHER'S EMAIL ADDRESS: *

MOTHER'S PHONE #: *

ALTERNATE PICK UP PERSON/EMERGENCY CONTACT: *

ALTERNATE PICK UP PERSON/EMERGENY CONTACT PHONE NUMBER: *

ALTERNATE PICK UP PERSON/EMERGENY CONTACT RELATIONSHIP TO CHILD: *

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. *

Yes

Photo Release: I hereby grant the above named parish permission to copyright and use photographs/videos taken at VBS of the minor designated above in any manner or form for any purpose lawful at any time. I waive any right that I may have to inspect or approve the finished product or written copy, that may be used in conjunction therewith, or the use to which it may be applied. *

Yes

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 church. *

Yes

PRINT AND SIGN CAPTAINS COVENANT (Separate button on the VBS24 Webpage) *

PARENT AND CAPTAIN have signed the Captain's Covenant:

Submit

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