Registration for VBS 2025

Parent Name

Phone

This address will receive a confirmation email

Address

Child Name and Birthday

2024-2025 Grade Level

Shirt Size (unisex)

I give permission for my child's photo/video to be used in St. Cuthbert's promotional materials, including website, social media and printed materials

Yes, I do give my permission. No, I do not give my permission.

Does your child have any special needs/allergies we should be aware of?

Child #2 Name and Birthday

2024-2025 Grade Level

Shirt Size (unisex)

I give permission for my child's photo/video to be used in St. Cuthbert's promotional materials, including website, social media and printed materials.

Yes, I give my permission No, I do not give my permission

Does your child have any special needs/allergies we should be aware of?

Child #3 Name and Birthday

2024-2025 Grade Level

Shirt Size (unisex)

I give permission for my child's photo/video to be used in St. Cuthbert's promotional materials, including website, social media and printed materials.

Yes, I do give my permission No, I do not give permission.

Does your child have any special needs/allergies we should be aware of?

Please Note: A parent must stay with any child that requires one-on-one care.

Emergency Contact Name(s), Phone Number(s) and Relationship.

If paying by cash or check, please choose the Cash/Check $0 option in the drop down menu.

Payment $20 per child

If you have more than three children, please fill out a separate form.

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Registration for VBS 2025

Description

Please Fix the Following