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V.B.S. Online Registration

- PREP

Vacation Bible School - Student Online Registration
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- Please complete a separate online registration form for each child.
- Parent's Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street 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. Please enter valid data.
  
  Zip Code REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email Address REQUIRED Please fill out this field. Please enter valid data.
- Child's Information:
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Grade for 2021-2022 School Year REQUIRED 4 yr old Preschool Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade Please fill out this field.
- Age REQUIRED Please fill out this field. Please enter valid data.
- Allergies or Special Needs: Please list all. If none, then please type N/A REQUIRED Please fill out this field.
- Person responsible for pick up (if other than parent) & phone number: Please enter valid data.
- Emergency Contact Name & Number: REQUIRED Please fill out this field. Please enter valid data.
- **In order to minimize risk, children may be placed in crews along with other members of their household. A household is defined by each family and can include extended members. Members of the same household will be allowed to have close proximity, such as sitting in the same pew at church and at the same table for snacks. Please indicate the name of the household for your child below and use the same name for each child and volunteer from the same household. You may share this name with other members who may be registering separately.
- Household Name REQUIRED
  Please use the same household name for all children and volunteers from the same household.
  Please fill out this field. Please enter valid data.
- **Photo/Video Release
  I hereby give permission to St. Columbkill Church to use photo and/or video of my child on our website, facebook page and in our closing ceremony. Please type below for your Electronic Signature.
- Electronic Signature of Parent/Guardian-Print REQUIRED Please fill out this field. Please enter valid data.
- COVID Waiver: St. Columbkill Parish has put in place preventative measures to reduce the spread of COVID-19; however, we cannot guarantee that you or your child(ren) will not become infected with COVID-19.
  
  I acknowledge the contagious nature of COVID-19 and that my child(ren) and I may be exposed to or infected by COVID-19 by participating in VBS activities and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at St. Columbkill may result from the actions, omissions, or negligence of myself and others, including, but not limited to, parish employees, volunteers, and program participants and their families.
  
  By signing this agreement, I also understand the procedures and protocols used during Vacation Bible School.
  -I will take my child's temperature BEFORE coming to VBS.
  -I will not allow my child to attend VBS if feeling sick or having been exposed to a positive case of COVID-19
  -I realize that wearing a facecovering or mask is optional for all persons
  -When signing in my child each day I am stating that my child is without any symptoms of COVID-19
  -I will follow all other procedures set by the VBS team.
  -I understand that procedures may change.
- COVID waiver signature REQUIRED
  Please type your name as acknowledgement of waiver
  Please fill out this field. Please enter valid data.
- Student Fee is $20 for the one child for the week., $15 for each additional child registered in the same family. You can click on the ROCKY RAILWAY icon below and it will take you to the payment page.
Submit

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2021 Vacation Bible School Registration Fee-Pay Here Online

There is a One-Time registration fee of $20 for the 1st student registered in each family. If you have more than one student in your family...each additional student's registration fee is $15. Thus, one student =$20; two students=$35; three=$50, etc.

Just click on the "TREASURED" below. You'll be taken to Parish Giving Website...Click on PAY NOW, fill out the form. Put student's name(s) in Memo portion...at the bottom when your done...just click...CONFIRM PAYMENT button...YOU'RE DONE! Easy, safe and secure!

You can use a Credit/Debit Card or your checking account via an EFT draft.
We look forward to a great week with you!