VBS: Summer Program

“Living Jesus: The Good Shepherd’s Mystery for little lambs.”

2018 VBS Enrollment Form

Prince of Peace Classic Catholic VBS - Vacation Bible School

VBS Dates: July 23rd – July 27th, 8:45am-12 Noon

Child's Name REQUIRED Please fill out this field. Please enter valid data.

Child or Volunteer REQUIRED Please fill out this field.

Grade ( Fall of 2018) REQUIRED Please fill out this field. Please enter valid data.

T-Shirt Size REQUIRED Please fill out this field.

Gender REQUIRED Please fill out this field.

Family Registered at Prince of Peace REQUIRED Please fill out this field.

Street Adress 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.

Home Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Text? REQUIRED Please fill out this field.

Email REQUIRED Please fill out this field. Please enter an email address.

Parent Guardian Names REQUIRED Please fill out this field. Please enter valid data.

Emergency Contact REQUIRED Please fill out this field. Please enter valid data.

Emergency Contact Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Person(s) other than parent that can pick up Child REQUIRED Please fill out this field. Please enter valid data.

Medical Conditions REQUIRED Please fill out this field.

The following two questions are for Volunteers only:

I would like to Help in one of these areas Guide Crafts/Music Games Snacks Pre-School Nursery Other

Days Available Monday Tuesday Wednesday Thursday Friday

Parent Guardian Signature REQUIRED Please fill out this field. Please enter valid data.

Date REQUIRED Please fill out this field. Please enter a date.

Please note that there is a $20.00 Material fee per child.

Vacation Bible School 2018