Vacation Bible School

2026 Vacation Bible School

June 8-12

2026 Vacation Bible School, June 8-12

Name:

Email:

Phone:

Gender: M F

Grade Completed

Age:

T-Shirt Size Child: XS S M L / Adult: S M L XL

Allergies or Medical Conditions

Health Insurance # (if applicable)

Parent/Guardian Name

Address

Phone Numbers:

Emergency Contact

I understand that reasonable precautions will be taken to safeguard the health and well being of the participants in this VBS and that i will be notified as soon as possible in the event of an emergency. In th ecase 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 hereby do release and forever discharge this diocese, parish and Cat.Chat Productions Inc. 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.

Immaculate Conception Parish

2026 Vacation Bible School

June 8-12

2026 Vacation Bible School, June 8-12

Immaculate Conception Parish

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