Facebook Flocknote

Register for VBS

vacation bible school registration form
- The maximum number of form submissions has been reached. This form is currently not available.
  
  How many students do you need to enroll REQUIRED Please fill out this field.
  
  Student 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Last school year completed REQUIRED Please fill out this field. Please enter valid data.
  
  Home Church (if any) Please enter valid data.
  
  Special Needs/Allergies/Medical Information/Other:
  
  Student 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Last school year completed REQUIRED Please fill out this field. Please enter valid data.
  
  Home Church (if any) Please enter valid data.
  
  Special Needs/Allergies/Medical Information/Other:
  
  Student 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Last school year completed REQUIRED Please fill out this field. Please enter valid data.
  
  Home Church (if any) Please enter valid data.
  
  Special Needs/Allergies/Medical Information/Other:
  
  Student 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Last school year completed REQUIRED Please fill out this field. Please enter valid data.
  
  Home Church (if any) Please enter valid data.
  
  Special Needs/Allergies/Medical Information/Other:
  
  Parent/Guardian Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Emergency Contact:
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  PHOTO RELEASE
  Do you give Our Lady of Fatima Church permission to use your child/ren's photograph publicly in VBS materials. By giving your permission you understand the images may be used in print publications, online publications and also understand that no royalty, fee or other compensation shall become payable to you by reason of such use.
  
  Answer REQUIRED
  This selection will be taken as signature from the Parent/Guardian.
  Yes No Please fill out this field.
  
  Submit
  
  This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Register for VBS

PHOTO RELEASE