2027 VBS Registration/Payment Form

2027 VBS REGISTRATION/PAYMENT FORM

REGISTRATION PORTION

Complete the following for EACH child to be registered into 2027 VBS at St. Thomas the Apostle.

Total Number of Children REQUIRED Please fill out this field.
CHILD 1
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Child's Date of Birth (Month/Day/Year) REQUIRED Please fill out this field. Please enter a date.
- Last School Grade Completed REQUIRED Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Please fill out this field.
- Allergies, Medical Conditions, Special Needs Please enter valid data.
CHILD 2
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Child's Date of Birth (Month/Day/Year) REQUIRED Please fill out this field. Please enter a date.
- Last School Grade Completed REQUIRED Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Please fill out this field.
- Allergies, Medical Conditions, Special Needs Please enter valid data.
CHILD 3
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Child's Date of Birth (Month/Day/Year) REQUIRED Please fill out this field. Please enter a date.
- Last School Grade Completed REQUIRED Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Please fill out this field.
- Allergies, Medical Conditions, Special Needs Please enter valid data.
CHILD 4
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Child's Date of Birth (Month/Day/Year) REQUIRED Please fill out this field. Please enter a date.
- Last School Grade Completed REQUIRED Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Please fill out this field.
- Allergies, Medical Conditions, Special Needs Please enter valid data.

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

In Case of Emergency Contact Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.

In Case of Emergency Contact Relationship to Child REQUIRED Please fill out this field.

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.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Parent/Caregiver's Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Home eMail Address REQUIRED Please fill out this field. Please enter an email address.

Home Church (if different from St. Thomas the Apostle) Please enter valid data.

I would be willing to volunteer REQUIRED Yes No Please fill out this field.

PAYMENT PORTION

Total (Select # of children registered for 2027 VBS) REQUIRED Please fill out this field.