Our Lady Help of Christians

• Bringing All to Christ •
Sharing Christ With All • Being One In Christ

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VBS Participant Registration 2023

participant registration
- The maximum number of form submissions has been reached. This form is currently not available.
  
  FAMILY INFORMATION
  
  Family Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street 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.
  
  Parish/Church REQUIRED Please fill out this field. Please enter valid data.
  
  PARENT/GUARDIAN
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Auto-Reply Email REQUIRED
  provide email address to receive summary of your completed Registration Form once submitted
  Please fill out this field. Please enter an email address.
  
  Best Phone Number REQUIRED Maximum 20 characters 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.
  
  Relationship to Child(ren) REQUIRED Relative Friend Other Please fill out this field.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  CHILD(REN) REGISTERING (ages 4 - 11 years)
  
  Number of Children Registering REQUIRED Please fill out this field.
  
  Child 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.
  
  Gender REQUIRED Please fill out this field.
  
  Age REQUIRED Please fill out this field.
  
  Grade ENTERING 2023-2024 REQUIRED Please fill out this field. Please enter valid data.
  
  T-shirt size REQUIRED Please fill out this field. Please enter valid data.
  
  Allergies (especially foods) REQUIRED Please fill out this field.
  
  Special Needs (Medical, Learning Disabilities, Physical Disabilities, etc.) REQUIRED
  Please inform us if your child takes medication for ADD/ADHD as well. Thanks!
  Please fill out this field.
  
  Child 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.
  
  Gender REQUIRED Please fill out this field.
  
  Age REQUIRED Please fill out this field.
  
  Grade ENTERING 2023-2024 REQUIRED Please fill out this field. Please enter valid data.
  
  T-shirt size REQUIRED Please fill out this field. Please enter valid data.
  
  Allergies (especially foods) REQUIRED Please fill out this field.
  
  Special Needs (Medical, Learning Disabilities, Physical Disabilities, etc.) REQUIRED
  Please inform us if your child takes medication for ADD/ADHD as well. Thanks!
  Please fill out this field.
  
  Child 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.
  
  Gender REQUIRED Please fill out this field.
  
  Age REQUIRED Please fill out this field.
  
  Grade ENTERING 2023-2024 REQUIRED Please fill out this field. Please enter valid data.
  
  T-shirt size REQUIRED Please fill out this field. Please enter valid data.
  
  Allergies (especially foods) REQUIRED Please fill out this field.
  
  Special Needs (Medical, Learning Disabilities, Physical Disabilities, etc.) REQUIRED
  Please inform us if your child takes medication for ADD/ADHD as well. Thanks!
  Please fill out this field.
  
  Child 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.
  
  Gender REQUIRED Please fill out this field.
  
  Age REQUIRED Please fill out this field.
  
  Grade ENTERING 2023-2024 REQUIRED Please fill out this field. Please enter valid data.
  
  T-shirt size REQUIRED Please fill out this field. Please enter valid data.
  
  Allergies (especially foods) REQUIRED Please fill out this field.
  
  Special Needs (Medical, Learning Disabilities, Physical Disabilities, etc.) REQUIRED
  Please inform us if your child takes medication for ADD/ADHD as well. Thanks!
  Please fill out this field.
  
  Child 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Age REQUIRED Please fill out this field.
  
  Grade ENTERING 2023-2024 REQUIRED Please fill out this field. Please enter valid data.
  
  T-shirt size REQUIRED Please fill out this field. Please enter valid data.
  
  Allergies (especially foods) REQUIRED Please fill out this field.
  
  Special Needs (Medical, Learning Disabilities, Physical Disabilities, etc.) REQUIRED
  Please inform us if your child takes medication for ADD/ADHD as well. Thanks!
  Please fill out this field.
  
  Questions or Comments:
  
  Registration Fees: This helps defray the cost of supplies, snacks, decorations, etc.
  Cuotas de inscripción: Esto ayuda con el costo de los materiales, snacks, decoraciones, etc.
  
  Registration Fees: REQUIRED Please fill out this field.
  
  If you would like to pay with cash or check click "Pay Later" and please stop by the office and drop off the envelope to Emily Vara. Checks can be made payable to Our Lady Help of Christians and on the memo VBS -Name of Child.
  
  Si desea pagar en efectivo o con cheque, favor de hacer clic en "Pay Later" y pasar por la oficina y dejar con Emily Vara. Los cheques se pueden hacer a Our Lady Help of Christians y en el memo VBS -Nombre del Niño.
  
  If you would like to make a donation so another child can attend VBS, please donate whatever amount you would like. THANK YOU for your generosity!
  Si desea hacer una donación para que otro niño pueda asistir al VBS, por favor done la cantidad que desee. GRACIAS por su generosidad!
  
  Donation / Donacion $ Please enter a positive decimal.
  
  Total:
  
  Submit
  
  Pay Now
  
  Pay Later
  
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