2018 Vacation Bible School

Registration Form

FAMILY CONTACT INFORMATION


Registration deadline is July 2, 2018.
Please note that walk-ins cannot be accepted due to the need to have the required number of volunteers available.
 

VOLUNTEER INFORMATION


 
Adult and teen volunteers are needed to help make this program possible.  Please check below if you are able to help.
Please check one *
Volunteer Opportunities

PAYMENT INFORMATION

Payment *

REQUIRED PARENT PERMISSION


Emergency Information
 
Please list a responsible adult (18 years or older) to contact in case of an emergency and you can not be reached.
General Release/Hold Harmless Agreement
 
I authorize the treatment of listed child(ren) by a qualified and licensed medical doctor in the event of a medical emergency which, in the opinion of the attending physician, may endanger his/her life, cause disfigurement, physical impairment, or undue discomfort if delayed, while said minor is participating in the 2018 Shipwrecked VBS Program, including transportation to and from the site.  This authority is granted only after a reasonable attempt has been made to contact me, the parent/guardian of said minor child(ren).  My signature below also indicates that I, parent/guardian, am responsible for medical bills incurred because of any treatment of listed child(ren), as described above, during the 2018 Shipwrecked VBS Program.
In consideration of the opportunity for the listed child(ren) to participate in 2018 Shipwrecked VBS Program, I agree to RELEASE AND HOLD HARMLESS AND INDEMNIFY St. Francis-St. Mary and Holy Family, St. Thomas More Academy, the Archdiocese of Baltimore's Department of Evangelization, the Roman Catholic Bishop of Baltimore and his successors, a Corporate Sole, and all their agents, servants and employees from any liability, claims, demands, acitons and causes of action arising our of or relating to any loss, damage, or injury sustained in comection with or arising out of my son's/daughter's participation in this program.
Photo Policy
 
Parents/guradians are advised that photographs and/or video or participants may be used in publications, websites, or other materials produced from time to time by St. Francis-St. Mary and Holy Family or St. Thomas More Academy.  Participants would not be identified. Parents/guardians who do not wish for their children to be photographed or filmed should submit this in a written request with the registration form.  Please note that St. Francis-St. Mary and Holy Family or St. Thomas More Academy do not take responsibility over the use pf photographs or film taken by the media or partiicpants of the VBS program.
Signature of Parent or Legal Guardian *
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