Vacation Bible School

Number of children you are registering as campers for VBS (grades Pre K - 5) 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.
- Grade REQUIRED Please fill out this field. Please enter valid data.
- Does your child have any of the following: Food Allergy Epi-Pen Inhaler
- Does your child have any of the following: Food Allergy Epi-Pen Inhaler
- If your child has a food allergy, please list foods here: Please enter valid data.
- Additional allergy or medical information you feel we should know. 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.
- Grade REQUIRED Please fill out this field. Please enter valid data.
- Does your child have any of the following: Food Allergy Epi-Pen Inhaler
- If your child has a food allergy, please list foods here: Please enter valid data.
- Additional allergy or medical information you feel we should know. 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.
- Grade REQUIRED Please fill out this field. Please enter valid data.
- Does your child have any of the following: Food Allergy Epi-Pen Inhaler
- If your child has a food allergy, please list foods here: Please enter valid data.
- Additional allergy or medical information you feel we should know. 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.
- Grade REQUIRED Please fill out this field. Please enter valid data.
- Does your child have any of the following: Food Allergy Epi-Pen Inhaler
- If your child has a food allergy, please list foods here: Please enter valid data.
- Additional allergy or medical information you feel we should know. Please enter valid data.

Mother's First Name REQUIRED Please fill out this field. Please enter valid data.

Mother's Last Name REQUIRED Please fill out this field. Please enter valid data.

Mother's Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Father's First Name REQUIRED Please fill out this field. Please enter valid data.

Father's Last Name REQUIRED Please fill out this field. Please enter valid data.

Father's Phone Number 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.

Main Contact Email REQUIRED Please fill out this field. Please enter an email address.

Are you a parishioner of OLGC? Yes No

Emergency Contact First Name REQUIRED Please fill out this field. Please enter valid data.

Emergency Contact Last Name REQUIRED Please fill out this field. Please enter valid data.

Emergency Contact Phone Number REQUIRED Please fill out this field. Please enter valid data.

Relationship to Student REQUIRED Please fill out this field. Please enter valid data.

Registration for (must choose one) REQUIRED Please fill out this field.

Cost per child: $35.0035.0

I agree to allow my child to participate in the Vacation Bible School at Our Lady of Good Counsel. In case of emergency, I agree that OLGC staff and volunteers may arrange medical care for my child and will notify a parent/guardian and/or emergency contact as soon as possible.
OLGC has my permission to include my child in group photos of VBS in social media and parish publications, including the website. No identifying information about individual participants will be used.

I Agree Please select this field.

Date REQUIRED Please fill out this field. Please enter a date.

Our Lady of Good Counsel

155 West Parkway, Pompton Plains, NJ

Vacation Bible School

VBS 2021 - Rocky Railway Aug 9-13th

VBS 2021 Registration form

VBS 2019- ROAR!