Vacation Bible School

June 4-8 and June 25-29

St. Peter Catholic Church
As part of our Continuing Religious Education Program for the summer ,

we will be offering 2 weeks of VBS

 

MUSICAL VACATION BIBLE SCHOOL

June 25-29
1st - 5th Grade Youth
9:30am - 12:30pm

 

Reg. Deadline: June 11, 2018

Cost: $50.00 per child

Musical Performance
Friday, June 29

6:00pm
 

   VACATION BIBLE SCHOOL

June 4-8
1st - 5th Grade Youth
9:30am - 12:00pm


 

Reg. Deadline: May 25, 2018

Cost: $50.00 per child
 

 

Family Information
Mother / Guardian Name
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Mother / Guardian Cell Phone --
Mother / Guardian E-mail
Father / Guardian
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Father's Phone --
Child(ren) Home Address
Child to Participate
Name
  •  
Gender
Birth Date //
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Grade in School (Aug 2018) Music Week Grades 1 - 5 Shipwrecked * Grades 1 - 5
T-Shirt Size
VBS Choice
Child to Participate
Name
  •  
Gender
Birth Date //
  •  
Grade in School (Aug 2018)
T-Shirt Size
VBS Choice
Child to Participate
Name
  •  
Gender
Birth Date //
  •  
Grade in School (Aug 2018)
T-Shirt Size
VBS Choice
Emergency Contact Info
Name
  •  
Phone --
Other people authorized to pick up my child(ren)
Name
  •  
Phone --
Name
  •  
Phone --
Permission & Medical Treatment Waiver
I do hereby give my permission for my child(ren) to attend St. Peter Catholic church VACATION BIBLE SCHOOL to be treated for a medical emergency in my absence while participating in the Vacation Bible School program. The Director of Religious Education or Adult supervisor may act as an agent in my absence. In case of accident, I do not hold the Diocese of Palm Beach, the parish, its staff, or the adult chaperones responsible.
I give my permission
Photograph and / or Videotape Consent & Release
I hereby grant to St. Peter Catholic Church the right to photograph and/or videotape me and further to use my name, face, likeness, voice, and appearance in connection with exhibitions, publicity, advertising, and promotional materials without any reservation, limitation, or consideration. This waiver specifically releases any common law causes of action or claims under Fla. Stat. 540.08 and expressly constitutes written consent for publication of my name, face, likeness, voice and appearance. I certify that I am the parent or legal guardian of the above participant(s), and that I have read the foregoing release and examined the information in the description. I hereby join in each and every part of this Photograph and/or Videotape Consent and Release (including such part as may subject me to personal financial responsibility) and hereby relinquish any claims that I may have against Sponsor as set forth above, both in my own behalf and in my capacity as legal representative (as applicable) of the participant, including without limitations any claims arising as a result of the participant=s leaving the supervision of Sponsor. I agree that if any portion of this document is found to be void or unenforceable, the remaining portions shall remain in full force and effect.
I have read, understand and agree with the Consent & Release Above
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VBS | $50.00

Music Week | $50.00

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