VBS Registration Form

NOTE: If you would prefer to fill out a paper form, click here: Printable Form .

Registration fee is $30.00 per child (includes snack and program materials).
Registration forms can be submitted online and payment made using the Online Giving link at the end.
Cash payments must be returned to the Parish office Monday - Thursday 9:00-4:00.
Checks must be made payable to St. James VBS and deposited in the drop box outside of the Parish office. Please write in the memo section of the check "for VBS" and your child's name.
PAYMENT MUST ACCOMPANY THE REGISTRATION FORM IN ORDER TO HOLD YOUR CHILD'S SPOT.
Class sizes are limited and spots will be filled based on completed forms with payment.

VBS runs Monday through Friday, 9:00 - 12:00
June 18-22, 2018
Ages 4 years old to 6th grade
(Child must be 4 by June 1st)

Parent Name:
Street Address:
City:
State:
Zip Code:
Home Phone Number:
Work Phone Number:
Cell Phone Number:
E-mail Address:
Permission to transport my child to emergency room and/or doctor:
Does your child have any medical conditions, allergies, medication, we should know about?
PHOTO CONSENT: As a parent/guardian, I understand that pictures may be taken during this event. I give permissions for my son/daughter's picture to be taken and used for publication in the church bulletin, in Powerpoint presentations, on bulletin boards, on our website and in local papers.
Name or person(s) picking up your child(ren) at 12:00pm each day: