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Vacation Bible School Registration

- Faith Formation
  - Resources
  - Vacation Bible School Registration

2024 VBS: Breaker Rock Beach

This year's Vacation Bible School will be held Aust 5-9 from 10am to 1pm
VBS Registration Form

Please fill out this form and it will be submitted to the Faith Formation office.
The maximum number of form submissions has been reached. This form is currently not available.
- Number of Children Registering REQUIRED Please fill out this field.
  
  Student 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.
  
  Check One REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade Pre-K K 1 2 3 4 5 Middle School High School
  
  Student 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.
  
  Check One REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade Pre-K K 1 2 3 4 5 Middle School High School
  
  Student 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.
  
  Check One REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade Pre-K K 1 2 3 4 5 Middle School High School
  
  Student 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.
  
  Check One REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade Pre-K K 1 2 3 4 5 Middle School High School
  
  Student 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Check One REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade Pre-K K 1 2 3 4 5 Middle School High School
  
  Student 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Check One REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade Pre-K K 1 2 3 4 5 Middle School High School
  
  Student 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Check One REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade Pre-K K 1 2 3 4 5 Middle School High School
  
  Student 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Check One REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade Pre-K K 1 2 3 4 5 Middle School High School
  
  Student 9
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Check One REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade Pre-K K 1 2 3 4 5 Middle School High School
  
  Student 10
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Check One REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade Pre-K K 1 2 3 4 5 Middle School High School
- Medical Conditions, Allergies or Special Needs?
- Family Information (Please Note: FlockNote Email is our primary method of communication. If you are not already registered on FlockNote we will add you.)
  
  Mailing 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.
  
  Home Phone Number (if you do not have a home phone, please provide your primary mobile number) REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Parent/Guardian 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.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
- Parent/Guardian 2
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Email Please enter an email address.
- Emergency Contact (Other than yourself)
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Emergency Contact Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Relationship to Children REQUIRED Please fill out this field. Please enter valid data.
- Registration Fees: There is no charge but if you feel compelled to help pay for the cost of materials it would be greatly appreciated. The materials for each student costs approximately $25 per child.
  
  To pay online, go to WeShare, select the amount you would like to give, enter "Faith Formation Registration" and family name in the comment box, and complete the payment information.
  
  To pay by check, make it out to "Our Lady of the Snows and St. Agnes Parish" and send or drop it off at the parish office, or your Faith Formation site. Please note "VBS Contribution" and family name on the Memo line.
  
  Thank-you for anything you can do to help our ministry be a success!
Submit

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Our Lady of the Snows Parish
St. Agnes Parish

Milo, Dover-Foxcroft, Dexter & Pittsfield, ME

Vacation Bible School Registration

2024 VBS: Breaker Rock Beach

VBS Registration Form