VBS 2019

 

ROAR!

 

Life is Wild- God is Good
 

 

Vacation Bible School 2019

Our Lady of the Lake and St. Catherine Parish

 

 

When: 

August 6th- 9th, 2019

9:30- 12:30 (drop off open at 9:15)

 

Where:    

Ages:   

Registration fee:  

Our Lady of the Lake
K- 5th grade
$30 per child  for first two children,

$15 per child for additional children in the family


Children of volunteers (who are volunteering at least 3 days at camp) can attend for free.  If you are not able to volunteer, but need scholarship, please let us know.  Volunteer hours will count towards school requirement.

Contact Information
Church Name
  •  
Enter the name of the church that you attend.
Parent/Guardian Name
  •  
Address
  •  
Email
  •  
Primary Phone --
  •  
Secondary Phone --
  •  
Emergency Contact Name
  •  
Emergency Contact Relationship
  •  
Emergency Phone Number --
  •  
Volunteer Needs:
For VBS to be successful, we need adult volunteers to help in a variety of areas. If you are able to help, please note below:
Volunteer Roles
  •  
Child 1
Child's Name
  •  
Birth Date //
  •  
Age
  •  
Using a number, list age of child on first day of camp.
Gender
  •  
Grade Entering in Fall 2018
  •  
Comments/ Requests:
  •  
Please note if you have any special group requests.
Special Needs
  •  
Please list any special needs your child may have (medical problems, developmental issues, food allergies, medications, etc.):
Child 2
Child's Name
  •  
Birth Date //
  •  
Age
  •  
Using a number, list age of child on first day of camp.
Gender
  •  
Grade Entering in Fall 2018
  •  
Comments/Requests
  •  
Please note if you have any special group requests.
Special Needs
  •  
Please list any special needs your child may have (medical problems, developmental issues, food allergies, medications, etc.):
Child 3
Child's Name
  •  
Birth Date //
  •  
Age
  •  
Using a number, list age of child on first day of camp.
Gender
  •  
Grade Entering in Fall 2018
  •  
Comments/Requests
  •  
Please note if you have any special group requests.
Special Needs
  •  
Please list any special needs your child may have (medical problems, developmental issues, food allergies, medications, etc.):
Child 4
Child's Name
  •  
Birth Date //
  •  
Age
  •  
Using a number, list age of child on first day of camp.
Gender
  •  
Grade Entering in Fall 2018
  •  
Comments/Requests
  •  
Please note if you have any special group requests.
Special Needs
  •  
Please list any special needs your child may have (medical problems, developmental issues, food allergies, medications, etc.):
Your child's shoe/sandle size
  •  
Photo Permission
Photograph, Video/Sound and Image of Work Consent:
PHOTO RELEASE FORM - For children 17 years and younger From time to time, photographs and video/sound may be taken of youth ministry/parish/school events and gatherings. This may also apply to written composition or visual art (images of work). St. Catherine of Siena Parish would like to able to use these photographs, videos/sounds and images of work for flyers, parish and diocesan publications, and the parish website. Written consent by the parent/guardian is required. If names are used, youths will only be identified by first names. If there are concerns about photographs, videos/sounds or images of work posted on the website, please contact St. Catherine of Siena Parish and they will promptly be removed.
I, the parent/guardian of this youth/these youths, authorize and give full consent, without limitation or reservation, to St. Catherine of Siena Parish to publish any photograph, video/sound or image of work in which the above named youth appears while participating in any program associated with St. Catherine of Siena Parish. There will be no compensation for use of any photograph, video/sound or image of work at the time of publication or in the future. If the youth and/or parent/guardian wish to rescind this agreement they may do so at any time with written notice.
I authorize:
  •  
Waiver
As parent and/or legal guardian, I remain legally responsible for any personal actions taken by the above named minor participant(s). I agree on behalf of myself, my child named herein, or our heirs, successors and assigns, to hold harmless and de- fend (Organization) , its officers, directors and agents, and the Corporation of the Catholic Archbishop of Seattle, chaperones, or representatives associated with the event, from any and all actions, claims, demands, damages, costs, expenses and all consequential damage arising from or in connection with my child attending the event or in connection with any illness or injury or cost of medical treatment in connection therewith, and I agree to compensate the organization, its officers, directors and agents, and the Corporation of the Catholic Archbishop of Seattle, chaperones, or representatives associated with the event for reasonable attorney’s fees and expenses arising therewith.
I agree
  •  
Parent Acknowledgement
  •  
Parent/Guardian Signature
  •  
Note: Once you submit this form, the confirmation page will have information to enable you to make an online payment.
  •  
 
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