VBS Registration 2023

Launch kids on a cosmic quest, shining Jesus’ light on the world!

Monday - Friday, July 17-21, 2023
9:00 AM- 12:00 PM

VBS 2023 is a fun-filled week of learning more about our faith through songs, recreation, and Bible stories! Daily snacks will be served. The cost for this fun filled learning experience is $25 per person or $40 per family. No student will be denied the opportunity to attend if money is an issue. Please just reach out to the office for confidential financial support at 269-327-5165. All participants will receive a complimentary t-shirt.

Donations are welcome if you would like to support the week!

Volunteers are needed. If you have a child or children, their entrance fee is waived and all of you will get a free t-shirt. If you would like to volunteer to help in hospitality, teaching, etc. Please reach out to the office at 269-327-5165 or email faith@stcaterinesiena.org.

Click here if you want to Volunteer!!

By filling out this form, you give Permission & Medical Release to St. Catherine of Siena for:
· I give my permission for my child(ren) to participate in VBS 2023 taking place July 17-21, 2023. I understand the known risks involved in the program for my child(ren) in consideration of St. Catherine of Siena Catholic Church allowing us to participate in the program. I hereby fully release and forever discharge the parties named above, along with heirs, officers, agents, employees, and volunteers.

· In the event of illness or accident, having parental responsibility for the named child(ren), I give permission for first aid to be administered where considered necessary by a person trained in first aid, if available, or medical treatment to be administered by a suitably qualified medical practitioner.

· If I cannot be contacted and my child(ren) should require emergency hospital treatment, I authorize an adult leader to sign on my behalf any written form of consent required by the hospital. However, I understand that every effort will be made to contact me as soon as possible.

How Many Children Do You Wish To Register Today? REQUIRED Please fill out this field.
Child 1
- Child's Full Name (First, Middle, Last) REQUIRED Please fill out this field. Please enter valid data.
- Child's Birth Date REQUIRED Please fill out this field. Please enter a date.
- Child's Place of Baptism REQUIRED Please fill out this field. Please enter valid data.
- Child's Grade Level in Fall 2023 REQUIRED Please fill out this field.
- T-Shirt Size REQUIRED Please fill out this field.
- Best Email Address for Your Child: Please enter an email address.
- Best Phone Number for Child REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Please list any allergies or special learning needs (if any) for this child below
- Your child may be included in photographs and/or videos taken during St. Catherine of Siena Parish's Vacation Bible School week. Please indicate, by checking the box below, whether or not you grant your permission for your child's photo/video to be used in print, on the internet, and/or in other forms of media.
  
  If you check "YES", you agree to give St. Catherine of Siena Parish in Portage, Michigan, permission to edit, use, and reuse photos/videos for non-profit purposes including use in print, on the internet, and all other forms of media. You also release St. Catherine of Siena Parish, the Diocese of Kalamazoo, and its agents, volunteers, and employees from all claims, demands, and liabilities whatsoever in connection with the above use.
  
  If you check "NO", you are indicating that you do NOT want St. Catherine of Siena Parish to use your child's photo or video clips of your child for any other purposes, including use in our bulletin, use on our website, and use on our social media pages.
- Permission to use child's picture/video? REQUIRED YES, St. Catherine's may use photos/videos of my child NO, St. Catherine's may NOT use photos/videos of my child Please fill out this field.
Child 2
- Child's Full Name (First, Middle, Last) REQUIRED Please fill out this field. Please enter valid data.
- Child's Birth Date REQUIRED Please fill out this field. Please enter a date.
- Child's Place of Baptism REQUIRED Please fill out this field. Please enter valid data.
- Child's Grade Level in Fall 2023 REQUIRED Please fill out this field.
- T-Shirt Size REQUIRED Please fill out this field.
- Best Email Address for Your Child: Please enter an email address.
- Best Phone Number for Child REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Please list any allergies or special learning needs (if any) for this child below
- Your child may be included in photographs and/or videos taken during St. Catherine of Siena Parish's Vacation Bible School week. Please indicate, by checking the box below, whether or not you grant your permission for your child's photo/video to be used in print, on the internet, and/or in other forms of media.
  
  If you check "YES", you agree to give St. Catherine of Siena Parish in Portage, Michigan, permission to edit, use, and reuse photos/videos for non-profit purposes including use in print, on the internet, and all other forms of media. You also release St. Catherine of Siena Parish, the Diocese of Kalamazoo, and its agents, volunteers, and employees from all claims, demands, and liabilities whatsoever in connection with the above use.
  
  If you check "NO", you are indicating that you do NOT want St. Catherine of Siena Parish to use your child's photo or video clips of your child for any other purposes, including use in our bulletin, use on our website, and use on our social media pages.
- Permission to use child's picture/video? REQUIRED YES, St. Catherine's may use photos/videos of my child NO, St. Catherine's may NOT use photos/videos of my child Please fill out this field.
Child 3
- Child's Full Name (First, Middle, Last) REQUIRED Please fill out this field. Please enter valid data.
- Child's Birth Date REQUIRED Please fill out this field. Please enter a date.
- Child's Place of Baptism REQUIRED Please fill out this field. Please enter valid data.
- Child's Grade Level in Fall 2023 REQUIRED Please fill out this field.
- T-Shirt Size REQUIRED Please fill out this field.
- Best Email Address for Your Child: Please enter an email address.
- Best Phone Number for Child REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Please list any allergies or special learning needs (if any) for this child below
- Your child may be included in photographs and/or videos taken during St. Catherine of Siena Parish's Vacation Bible School week. Please indicate, by checking the box below, whether or not you grant your permission for your child's photo/video to be used in print, on the internet, and/or in other forms of media.
  
  If you check "YES", you agree to give St. Catherine of Siena Parish in Portage, Michigan, permission to edit, use, and reuse photos/videos for non-profit purposes including use in print, on the internet, and all other forms of media. You also release St. Catherine of Siena Parish, the Diocese of Kalamazoo, and its agents, volunteers, and employees from all claims, demands, and liabilities whatsoever in connection with the above use.
  
  If you check "NO", you are indicating that you do NOT want St. Catherine of Siena Parish to use your child's photo or video clips of your child for any other purposes, including use in our bulletin, use on our website, and use on our social media pages.
- Permission to use child's picture/video? REQUIRED YES, St. Catherine's may use photos/videos of my child NO, St. Catherine's may NOT use photos/videos of my child Please fill out this field.
Child 4
- Child's Full Name (First, Middle, Last) REQUIRED Please fill out this field. Please enter valid data.
- Child's Birth Date REQUIRED Please fill out this field. Please enter a date.
- Child's Place of Baptism REQUIRED Please fill out this field. Please enter valid data.
- Child's Grade Level in Fall 2023 REQUIRED Please fill out this field.
- T-Shirt Size REQUIRED Please fill out this field.
- Best Email Address for Your Child: Please enter an email address.
- Best Phone Number for Child REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Please list any allergies or special learning needs (if any) for this child below
- Your child may be included in photographs and/or videos taken during St. Catherine of Siena Parish's Vacation Bible School week. Please indicate, by checking the box below, whether or not you grant your permission for your child's photo/video to be used in print, on the internet, and/or in other forms of media.
  
  If you check "YES", you agree to give St. Catherine of Siena Parish in Portage, Michigan, permission to edit, use, and reuse photos/videos for non-profit purposes including use in print, on the internet, and all other forms of media. You also release St. Catherine of Siena Parish, the Diocese of Kalamazoo, and its agents, volunteers, and employees from all claims, demands, and liabilities whatsoever in connection with the above use.
  
  If you check "NO", you are indicating that you do NOT want St. Catherine of Siena Parish to use your child's photo or video clips of your child for any other purposes, including use in our bulletin, use on our website, and use on our social media pages.
- Permission to use child's picture/video? REQUIRED YES, St. Catherine's may use photos/videos of my child NO, St. Catherine's may NOT use photos/videos of my child Please fill out this field.
Child 5
- Child's Full Name (First, Middle, Last) REQUIRED Please fill out this field. Please enter valid data.
- Child's Birth Date REQUIRED Please fill out this field. Please enter a date.
- Child's Place of Baptism REQUIRED Please fill out this field. Please enter valid data.
- Child's Grade Level in Fall 2023 REQUIRED Please fill out this field.
- T-Shirt Size REQUIRED Please fill out this field.
- Best Email Address for Your Child: Please enter an email address.
- Best Phone Number for Child REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Please list any allergies or special learning needs (if any) for this child below
- Your child may be included in photographs and/or videos taken during St. Catherine of Siena Parish's Vacation Bible School week. Please indicate, by checking the box below, whether or not you grant your permission for your child's photo/video to be used in print, on the internet, and/or in other forms of media.
  
  If you check "YES", you agree to give St. Catherine of Siena Parish in Portage, Michigan, permission to edit, use, and reuse photos/videos for non-profit purposes including use in print, on the internet, and all other forms of media. You also release St. Catherine of Siena Parish, the Diocese of Kalamazoo, and its agents, volunteers, and employees from all claims, demands, and liabilities whatsoever in connection with the above use.
  
  If you check "NO", you are indicating that you do NOT want St. Catherine of Siena Parish to use your child's photo or video clips of your child for any other purposes, including use in our bulletin, use on our website, and use on our social media pages.
- Permission to use child's picture/video? REQUIRED YES, St. Catherine's may use photos/videos of my child NO, St. Catherine's may NOT use photos/videos of my child Please fill out this field.
Child 6
- Child's Full Name (First, Middle, Last) REQUIRED Please fill out this field. Please enter valid data.
- Child's Birth Date REQUIRED Please fill out this field. Please enter a date.
- Child's Place of Baptism REQUIRED Please fill out this field. Please enter valid data.
- Child's Grade Level in Fall 2023 REQUIRED Please fill out this field.
- T-Shirt Size REQUIRED Please fill out this field.
- Best Email Address for Your Child: Please enter an email address.
- Best Phone Number for Child REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Please list any allergies or special learning needs (if any) for this child below
- Your child may be included in photographs and/or videos taken during St. Catherine of Siena Parish's Vacation Bible School week. Please indicate, by checking the box below, whether or not you grant your permission for your child's photo/video to be used in print, on the internet, and/or in other forms of media.
  
  If you check "YES", you agree to give St. Catherine of Siena Parish in Portage, Michigan, permission to edit, use, and reuse photos/videos for non-profit purposes including use in print, on the internet, and all other forms of media. You also release St. Catherine of Siena Parish, the Diocese of Kalamazoo, and its agents, volunteers, and employees from all claims, demands, and liabilities whatsoever in connection with the above use.
  
  If you check "NO", you are indicating that you do NOT want St. Catherine of Siena Parish to use your child's photo or video clips of your child for any other purposes, including use in our bulletin, use on our website, and use on our social media pages.
- Permission to use child's picture/video? REQUIRED YES, St. Catherine's may use photos/videos of my child NO, St. Catherine's may NOT use photos/videos of my child Please fill out this field.

Parent or Guardian Information:

Parent or Guardian's Full Name REQUIRED Please fill out this field. Please enter valid data.
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.
Email Address REQUIRED Please fill out this field. Please enter an email address.
Primary Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Alternate Phone Number: Maximum 20 characters Please enter a phone number.

Is Your Family Registered in our Parish? REQUIRED Yes No* Please fill out this field.

If not registered in our parish, in which parish is your family currently registered? Please enter valid data.

Are you volunteering for VBS at St. Catherine's this year? (Nursery services are available for those who volunteer while they are volunteering.) REQUIRED Yes No I would like to! Please fill out this field.

Will you need nursery services while volunteering?

If volunteering at VBS, please tell us your t-shirt size.