VBS Registration

June 10 - 14, 2024 / 8:00 - 12:00pm 
St. Thomas Luffey Building 
Early Drop-Off: 7:30am / Pick-up no later than 12:30pm 
Grades: Grades Pre-K 3 (toliet trained) - Entering 6th Grade 

Child's Information

Gender *

Family Information

Phone Numbers:

Emergency Contact:

I understand that reasonable precautions will be taken to safeguard the health and wll being of the participants in this VBS and that I will be notified as soon as possible in the event of an emergency. In the case of sickness or an accident, I authorize and consent the VBS Team, or other associated volunteers of the VBS program to obtain medical care from a licensed physician, hospital, or medical clinic for my son/daughter in the event that myself or other legal guardian(s) cannot be reached. I herby do release and forever discharge Cat.Chat Productions, this Diocese, and Parish from all manners of actions, claims which I or the child named above shall or may have for any reason, arising during my child's attendance of the VBS. Unless other written instruction is submitted, I also consent to allowing my child's image to be recorded, either by photograph or video, and used during the VBS week or for future advertisement of VBS programs. Any other use will require your further consent. 
Parent / Guardian Signature: *
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