VBS Participant Form
Please fill out this form completely. Contact VBS@saintfrancischurch.org with questions.
Email *
First participant's name (please list as Last, First): *
First participant's preferred name: *
First participant's date of birth: *
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First participant's t-shirt size: *
First participant's 2022-23 grade: *
Second participants' name (please list as Last, First):
Second participant's preferred name:
Second participant's date of birth:
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Second participant's t-shirt size:
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Second participant's 2022-23 grade:
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Third participant's name (please list as Last, First):
Third participant's preferred name:
Third participant's date of birth:
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DD
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YYYY
Third participant's t-shirt size:
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Third participant's 2022-23 grade:
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Fourth participant's name (please list as Last, First):
Fourth participant's preferred name:
Fourth participant's date of birth:
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DD
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YYYY
Fourth participant's t-shirt size:
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Fourth participant's 2022-23 grade:
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Participant(s)' home parish: *
Are any participants registered for Summer Kids Care?  (If yes, see next question.) *
Which participants are registered for Summer Kids Care (please list as Last, First):
Participant(s)' home address: *
Parent/Guardian's name (please list as Last, First): *
Parent/Guardian: Email *
 Parent/Guardian: Phone number *
Second Parent/Guardian's name (please list as Last, First):
Second Parent/Guardian: Email
Second Parent/Guardian: Phone number
Please provide an emergency contact not already identified above: Name, Phone Number *
Do any participants have dietary concerns/allergies? Please list them. If the answer is no, please put NO. *
Do any participants have concerns we can direct to our Special Needs Coordinator? These will be addressed on a case by case basis. If the answer is no, please put NO. *
Do you have a FACTS account set up for payment with the parish? *
By selecting yes, you acknowledge payment for VBS will be collected from your FACTS account ($40 per participant). For households that do not have a FACTS account with St. Francis of Assisi, parish staff will contact you with information to create one. By selecting yes, you assume responsibility to create the account and acknowledge payment will be submitted via FACTS prior to the opening date of VBS 2022. *
Are you interested in purchasing a CD of this year's soundtrack? If yes, $10/family will be added to your registration fees. *
In order to celebrate and share our efforts in Faith Formation with the rest of the parish, we may, from time to time, use photos of various activities in parish publications, displays, or on the website. Children will never be identified by name. Please indicate your permission for your child(ren)'s photo to be used in such a way by selecting the appropriate response: *
To request fee assistance for VBS this year, please see the attached link below.
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A copy of your responses will be emailed to the address you provided.
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