Summer Faith Formation Registration

Around the World in 5 Days

with

Assorted Saints and Virtues

Vacation Bible School Registration

August 1st - 5th - 1:00pm - 5:00pm

Pre-School through 6th grade (Fall 2022)

Contact Information

Parent's Name

Required*

Address

Street 1*

Street 2

City*

State*

Zip*

Primary Phone

Required* --

Secondary Phone

Required*

Emergency Contact Name

First Name*

Last Name*

Emergency Contact Relationship

Required*

Emergency Phone Number

Required* --

Parish

Child 1

Child's Name

First Name

Last Name

Grade in Fall 2022

T-Shirt Size

Youth Sizes

Child 2

Child's Name

First Name

Last Name

Grade in Fall 2022

T-Shirt Size

Youth Sizes

Child 3

Child's Name

First Name

Last Name

Grade in Fall 2022

T-Shirt Size

Youth Sizes

Child 4

Child's Name

First Name

Last Name

Grade in Fall 2022

T-Shirt Size

Music CD

In the past we have sent a Music CD home with each family, but we realize many may no longer have the capability to play a CD at home. Please select below if you would like a CD for your family.

Music CD

	Yes
	No

Volunteers

Are you or any of your older children interested in volunteering to help throughout the week? If so, please list names and times/days you are available below.

Photo Policy

Photos may be taken of students attending Vacation Bible School at St. Rose of Lima to be used in class projects or to be posted on the St. Rose of Lima website and bulletin boards. Photos that appear online will not identify any student by name.

Acknowledgment
Required*

	I have read and agree to the Faith Formation Photo Policy.
	I do not wish for my child(ren)'s pictures to be posted online, in the weekly bulletin or on bulletin boards in the church.

Additional Details

Allergies/Dietary Restrictions/Special Needs/Medication		Please list child's name & needs. Please list any information that may be helpful to us.

Parent Signature
Required*

I acknowledge that as the parent/guardian, this information will be submitted to the parish for use in registration.*

Yes

Vacation Bible School is free to all who wish to attend. We are requesting donations to help cover the costs of the program. The suggested donation is $15 for the first child and $10 for each additional child in your family. Online donations can be made at: www.giving.parishsoft.com/app/giving/strose. The fund you select should be "Faith Formation" and the Sub Fund "Vacation Bible School". Donations can also be sent to the parish office, dropped in the collection basket, or given to Ashley Gossen. Checks should be made payable to St. Rose of Lima.