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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 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.
- **Children are grouped according to grade. If your child would like to be in a different group in order to be with a special friend (or sibling) indicate the freind's or sibling's name below with their grade.
- Friend or Sibling's Name & Grade 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.
- 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 ROAR icon below and it will take you to the payment page.
Submit
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 "Rocky Railway logo" 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!