Vacation Bible School Registration
August 14th - 18th 
9:00am - 12pm

Pre-K (3 & 4yr., if toilet trained) thru Grade 4
5th Graders can register to be crew members in training



Child 1 Name:*
Child 1 Gender:*
Child 1 Date of Birth:*
Child 1 Last School Grade Completed:*
Child 2 Name:
Child 2 Gender:
Child 2 Date of Birth:
Child 2 Last School Grade Completed:
Child 3 Name:
Child 3 Gender:
Child 3 Date of Birth:
Child 3 Last School Grade Completed:
Child 4 Name:
Child 4 Gender:
Child 4 Date of Birth:
Child 4 Last School Grade Completed:
Child 5 Name:
Child 5 Gender:
Child 5 Date of Birth:
Child 5 Last School Grade Completed:
Mother's Name:*
Mother's Cell:*
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Father's Name:*
Father's Cell:*
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Address:*
Home Phone:*
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E-mail:*
Are you a parishioner of OLGC?*
Allergies or other medical conditions:
Emergency Contact:*
Contact Phone:*
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Relationship to Child:*


OLGC may use photos of my child from the VBS program for parish publications:

Photo Consent:
Signature:
Date:

Payment Information

1st Child: $35.00

$30.00 for each additional child


Number of Children Attending:*
Total:

Note: Hitting the submit button will direct you to paypal.com to submit payment.

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