VBS PARTICIPANT REGISTRATION

- Faith Formation

Please use this form to register your children for VBS .

If you are an ADULT VOLUNTEER and wish to register your children: Click here for the volunteer child participant form.
VBS Information
REGISTRATION INFORMATION:
- Our VBS is for children ages 4-10 years old as of the 1st day of VBS.
- Enrollment is limited to 200 children.
- NO REFUNDS AFTER MAY 18th.
  Participants registered after May 18th may receive a child's size large t-shirt and are not guaranteed a VBS Music Download Card or VBS CD.
- Please complete and submit online registrations. Registrations over the phone cannot be accepted.
- No paper forms are available.
- Please pay online after submitting registration.
- Registrations will be processed only once payment is received.
- You will receive an email confirming your registration, and whether payment has been received or not.
PAYMENT INFORMATION:
- Payment is online.
- Please be sure to submit payment online immediately after you've submitted the registration
- Participant fees:
  $40 for 1 child (includes ONE VBS Music Download Card or ONE VBS CD - 1/family)
  $70 for 2 children (includes ONE VBS Music Download Card or ONE VBS CD - 1/family)
  $100 for 3 or more children (includes ONE VBS Music Download Card or ONE VBS CD- 1/family)
  $100 maximum per family (includes ONE VBS Music Download Card or ONE VBS CD -1/family)
OTHER INFORMATION:
- We are unable to group your child with other specific children.
- Children will be grouped by age, not by grade.
- All children will be together at the beginning and end of each day.
The maximum number of form submissions has been reached. This form is currently not available.
- VBS PARENT INFORMATION
- Parent First Name: REQUIRED Please fill out this field. Please enter valid data.
- Parent Last Name REQUIRED Please fill out this field. Please enter valid data.
- Parent Email (This will be the MAIN form of contact): REQUIRED Please fill out this field. Please enter an email address.
- Primary Phone/Cell: REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Secondary Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- 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.
- Emergency Contact Name: REQUIRED Please fill out this field. Please enter valid data.
- Emergency Contact Relationship: REQUIRED Please fill out this field. Please enter valid data.
- Emergency Contact Phone Number/Cell: REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Emergency Contact Phone Number/Secondary: Maximum 20 characters Please enter a phone number.
- Additional Comments:
- Has/have your child(ren) ever attended VBS? Yes No Some of my children have
- Is St Michael's your home parish? Yes No
- MEDICAL RELEASE: I am the parent or legal guardian of the child/ren I am registering. I do hereby give consent to emergency medical treatment or procedures and hospital care which is deemed advisable by and is suggested, recommended, prescribed, or directed by any physician or surgeon duly licensed to practice in the State of Georgia. It is understood that every effort shall be made to contact the undersigned prior to rendering treatment to the patient, but that any of the above treatments will not be withheld if the undersigned cannot be reached.
- Parent: Do you give permission for the above Medical Release statement? REQUIRED Please fill out this field.
- MEDIA RELEASE: Please indicate whether or not you grant permission for in-house publication of group (two or more persons) photos taken during VBS. REQUIRED Please fill out this field.
- VBS PARTICIPANT INFORMATION
- Number of children for registration: 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 Male Female Please fill out this field.
  
  Age (as of the 1st day of VBS--only 4 thru 10yrs old) REQUIRED Please fill out this field.
  
  Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter valid data.
  
  Child's T-shirt size: REQUIRED Please fill out this field.
  
  Does this child have special needs (Autism, ADHD,PDD...)?
  
  Special Needs: If this child has special needs please detail how we can best support you and your child's needs. You will be contacted to further discuss these needs.
  
  Please list any Allergies; epi pen carried; other vital medical information
  
  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 Male Female Please fill out this field.
  
  Age (as of the 1st day of VBS--only 4 thru 10yrs old) REQUIRED Please fill out this field.
  
  Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter valid data.
  
  Child's T-shirt size: REQUIRED Please fill out this field.
  
  Does this child have special needs (Autism, ADHD,PDD...)?
  
  Special Needs: If this child has special needs please detail how we can best support you and your child's needs. You will be contacted to further discuss these needs.
  
  Please list any Allergies; epi pen carried; other vital medical information
  
  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 Male Female Please fill out this field.
  
  Age (as of the 1st day of VBS--only 4 thru 10yrs old) REQUIRED Please fill out this field.
  
  Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter valid data.
  
  Child's T-shirt size: REQUIRED Please fill out this field.
  
  Does this child have special needs (Autism, ADHD,PDD...)?
  
  Special Needs: If this child has special needs please detail how we can best support you and your child's needs. You will be contacted to further discuss these needs.
  
  Please list any Allergies; epi pen carried; other vital medical information
  
  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 Male Female Please fill out this field.
  
  Age (as of the 1st day of VBS--only 4 thru 10yrs old) REQUIRED Please fill out this field.
  
  Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter valid data.
  
  Child's T-shirt size: REQUIRED Please fill out this field.
  
  Does this child have special needs (Autism, ADHD,PDD...)?
  
  Special Needs: If this child has special needs please detail how we can best support you and your child's needs. You will be contacted to further discuss these needs.
  
  Please list any Allergies; epi pen carried; other vital medical information
  
  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 Male Female Please fill out this field.
  
  Age (as of the 1st day of VBS--only 4 thru 10yrs old) REQUIRED Please fill out this field.
  
  Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter valid data.
  
  Child's T-shirt size: REQUIRED Please fill out this field.
  
  Does this child have special needs (Autism, ADHD,PDD...)?
  
  Special Needs: If this child has special needs please detail how we can best support you and your child's needs. You will be contacted to further discuss these needs.
  
  Please list any Allergies; epi pen carried; other vital medical information
  
  Child 6
  
  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 Male Female Please fill out this field.
  
  Age (as of the 1st day of VBS--only 4 thru 10yrs old) REQUIRED Please fill out this field.
  
  Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter valid data.
  
  Child's T-shirt size: REQUIRED Please fill out this field.
  
  Does this child have special needs (Autism, ADHD,PDD...)?
  
  Special Needs: If this child has special needs please detail how we can best support you and your child's needs. You will be contacted to further discuss these needs.
  
  Please list any Allergies; epi pen carried; other vital medical information
- VBS PAYMENT SECTION
- VBS fee: includes 1 Music Download Card or CD per family REQUIRED
  Please click on the number of children you are registering for VBS: All families with participating children will receive one VBS Music Download Card as part of the VBS fee.
  40.0 – One Child - includes one VBS Music Download Card or CD 70.0 – Two Children - includes one VBS Music Download Card or CD 100.0 – 3 or more Children - includes one VBS Music Download Card or CD Please fill out this field.
- VBS Music Music Download Card or CD REQUIRED
  If you would like additional VBS Music Download Card(s) for your family it will be an additional $10 per VBS Music Download Card. Click on the number of extra VBS Music Download Card(s) you'd like to purchase.
  0.0 – No additional VBS Music Download Card or CD 10.0 – 1 Additional VBS Music Download Card or CD 20.0 – 2 Additional VBS Music Download Cards or CDs Please fill out this field.
- Select one: REQUIRED VBS Music Download Card(s) VBS Music CD(s) Please fill out this field.
- VBS Donation
  If you would like to make a donation to help with VBS costs please type in the amount.
  $ Please enter a positive decimal.
- Please click on the "PROCEED TO PAYMENT" button to submit this registration.
  
  If you ordered a VBS Music Download Card/CD, a payment form will be displayed for you to submit payment.
  
  If you did not order a VBS Music Download Card/CD, a screen confirming application submission will display.
Total:

Submit

Proceed to Payment

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
BluePay

VBS PARTICIPANT REGISTRATION

VBS PARENT INFORMATION

VBS PARTICIPANT INFORMATION

VBS PAYMENT SECTION