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VBS 2022 Registration

Welcome to VBS 2022 - Make Waves! PLEASE NOTE: Cost for this year's VBS is $25/child, which includes a VBS t-shirt. Financial assistance is available - for more information visit the VBS website


Pre-K spaces are now full. Click here to add your child's name to our waitlist.

Parent Name*
Home Address*
Name of Person Bringing Child*
Name of Alternate Person Bringing Child
Parents are Members of St. John the Divine
First child's name*
First child's grade as of September 2022*
First child's t-shirt size*
Does your first child attend First Steps?*
Does your first child have any allergies or intolerances?*
Second child's name
Second child's grade as of September 2022
Second child's t-shirt size
Does your second child attend First Steps?*
Does your second child have any allergies or intolerances?*
Third child's name
Third child's grade as of September 2022
Third child's t-shirt size
Does your third child attend First Steps?*
Does your third child have any allergies or intolerances?*

Volunteer!

Checkbox

Emergency Contacts Other than Parents

First alternate contact
Second alternate contact

First Aid Release

I/We give full consent to have my child receive first air by trained staff members or registered nurse, if necessary, be transported to receive emergency care. I understand that I will be responsible for all charges not covered by insurance. In case of an emergency, when I cannot be reached, I/We give consent for either of the emergency contact persons listed above or the church staff to act on my/our behalf to authorize the necessary medical treatment until I/We are available.

Medical Care Information

Media/Publicity Release

I/We give permission for The Church of St. John the Divine to use my/our child(ren's) name(s) and photos in promotional materials (publications, website or on the local news) and publicity regarding various activities of The Church of St. John the Divine. I hereby waive the right to inspect or approve finished photographs, or the use to which it may be put or the copy of illustrations used in connection therewith.

Replacement Policy

The Church of St. John the Divine requests that all personal items such as cell phones, video games, cameras, and other items be left at home. We will not be responsible for the replacement of items broken, lost or stolen.

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