VBS Registration 2025

The cost for this fun filled learning experience is $30 per person or $60 per family (3+ children). VBS is a big event, with tons of opportunities to volunteer! Volunteers are needed before and during the event. If a parent volunteers for VBS, your child(ren)s registration fee is waived and all of you will get a t-shirt.

No student will be denied the opportunity to attend if money is an issue. Please just reach out to Michelle Zawadzki for confidential financial support at 269-978-2343 or [email protected]

How Many Children Do You Wish To Register Today? REQUIRED Please fill out this field.
Child 1
- Child's Full Name (First, 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 Grade Level in Fall 2025 REQUIRED Please fill out this field.
- T-Shirt Size REQUIRED Please fill out this field.
- 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 NO Please fill out this field.
Child 2
- Child's Full Name (First, 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 Grade Level in Fall 2025 REQUIRED Please fill out this field.
- T-Shirt Size REQUIRED Please fill out this field.
- 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 NO Please fill out this field.
Child 3
- Child's Full Name (First, 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 Grade Level in Fall 2025 REQUIRED Please fill out this field.
- T-Shirt Size REQUIRED Please fill out this field.
- 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 NO Please fill out this field.
Child 4
- Child's Full Name (First, 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 Grade Level in Fall 2025 REQUIRED Please fill out this field.
- T-Shirt Size REQUIRED Please fill out this field.
- 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 NO Please fill out this field.
Child 5
- Child's Full Name (First, 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 Grade Level in Fall 2025 REQUIRED Please fill out this field.
- T-Shirt Size REQUIRED Please fill out this field.
- 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 NO Please fill out this field.
Child 6
- Child's Full Name (First, 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 Grade Level in Fall 2025 REQUIRED Please fill out this field.
- T-Shirt Size REQUIRED Please fill out this field.
- 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 NO 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.

How did you hear about VBS? REQUIRED Please fill out this field. Please enter valid data.

Do you have a special request for your child to be grouped with a sibling or friend? If so please list one request below. 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.

By submitting 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 2025 taking place July 14-18, 2025. I understand that this event will take place on parish grounds and that my child will be under the supervision of the designated parish employee on the dated dates. I further consent to the conditions stated above on participation in this event.
I hereby fully release and forever discharge St. Catherine Parish, and any and all affiliated organizations, their employees, agents and representives, including volunteers from any and all claims, including negligence, which may be asserted by me or my child, or on behalf of my child, arising from or relating to my child's participation. This release does not apply to claims for intentional misconduct or gross negligence.
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.

St. Catherine of Siena Parish

Portage, MI

VBS Registration 2025

PAY FOR VBS!