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Vacation Bible School (VBS)

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Document Download
- 2021 Parent Printable Covid & Medical Release Forms
Contact Us
- Connie Whittington
  
  Director of Children’s Ministry
  
  (813) 949-2699
  ConnieWLadyrosary.org

Monday, June 14—Friday, June 18, 2021

6:00 PM—8:30 PM

Completed Kindergarten—5th Grade

Registration begins April 11th.

Each child needs to be registered individually as we have limited spots available due to covid.

Please note a notarized Medical Release form is now required, if you are in need of a notary please let us know.

We look forward to seeing you in June!

Would you like to Volunteer?
Click Here to Volunteer
- Registration Parent Flyer
The maximum number of form submissions has been reached. This form is currently not available.
- I am a parishoner of Our Lady of the Rosary REQUIRED Yes No Please fill out this field.
- I would like to reserve a copy of the music CD for an additional $10 which I will pick up and pay for at VBS on Tuesday or Wednesday. REQUIRED Yes No Please fill out this field.
- Family Last Name REQUIRED Please fill out this field. Please enter valid data.
- Home Phone Number Please enter a phone number.
- Main Contact Email REQUIRED Please fill out this field. Please enter an email address.
- Home Address REQUIRED Please fill out this field.
- Parent info
  
  Father's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Email REQUIRED Please fill out this field. Please enter an email address.
  
  Father's Cell Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Mother's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Email REQUIRED Please fill out this field. Please enter an email address.
  
  Mother's Cell Number REQUIRED Please fill out this field. Please enter a phone number.
- Child #1 info
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  Current Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Male Female Please fill out this field.
  
  Crew Number Please enter valid data.
  
  T-Shirt Size REQUIRED
  (YXS, YS, YM, YL, AXS, AS, AM, AL, AXL, A2X, A3X)
  Please fill out this field. Please enter valid data.
  
  Special Needs (Allergies-food, medical, physical):
  
  Any special requests? (We’ll do our best to accommodate your request!)
  
  Publicity Releases/Photo Form Policy Agreement
  
  We want to share the awesome things that God is doing so that others are encouraged to bring their children to participate more fully in our life together as Christians! From time to time, we use photos and videos in parish media (website, bulletin, etc.) and in the local community (newspapers, website, etc.).
  
  I give the following permission for my child's name and likeness to be included in such publicity releases. REQUIRED I DO give permission I DO NOT give permission Please fill out this field.
  
  By typing my name on the line below, I understand I am consenting to the above through an e-signature REQUIRED Please fill out this field. Please enter valid data.
- Child #2 info
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Age Please enter valid data.
  
  Current Grade Please enter valid data.
  
  Sex Male Female
  
  Crew Number Please enter valid data.
  
  T-Shirt Size
  (YXS, YS, YM, YL, AXS, AS, AM, AL, AXL, A2X, A3X)
  Please enter valid data.
  
  Special Needs (Allergies-food, medical, physical):
  
  Any special requests? (We’ll do our best to accommodate your request!)
  
  Publicity Releases/Photo Form Policy Agreement
  
  We want to share the awesome things that God is doing so that others are encouraged to bring their children to participate more fully in our life together as Christians! From time to time, we use photos and videos in parish media (website, bulletin, etc.) and in the local community (newspapers, website, etc.).
  
  I give the following permission for my child's name and likeness to be included in such publicity releases. I DO give permission I DO NOT give permission
  
  By typing my name on the line below, I understand I am consenting to the above through an e-signature Please enter valid data.
- Child #3 info
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Age Please enter valid data.
  
  Current Grade Please enter valid data.
  
  Sex Male Female
  
  Crew Number Please enter valid data.
  
  T-Shirt Size
  (YXS, YS, YM, YL, AXS, AS, AM, AL, AXL, A2X, A3X)
  Please enter valid data.
  
  Special Needs (Allergies-food, medical, physical):
  
  Any special requests? (We’ll do our best to accommodate your request!)
  
  Publicity Releases/Photo Form Policy Agreement
  
  We want to share the awesome things that God is doing so that others are encouraged to bring their children to participate more fully in our life together as Christians! From time to time, we use photos and videos in parish media (website, bulletin, etc.) and in the local community (newspapers, website, etc.).
  
  I give the following permission for my child's name and likeness to be included in such publicity releases. I DO give permission I DO NOT give permission
  
  By typing my name on the line below, I understand I am consenting to the above through an e-signature Please enter valid data.
- Child #4 info
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Age Please enter valid data.
  
  Current Grade Please enter valid data.
  
  Sex Male Female
  
  Crew Number Please enter valid data.
  
  T-Shirt Size
  (YXS, YS, YM, YL, AXS, AS, AM, AL, AXL, A2X, A3X)
  Please enter valid data.
  
  Special Needs (Allergies-food, medical, physical):
  
  Any special requests? (We’ll do our best to accommodate your request!)
  
  Publicity Releases/Photo Form Policy Agreement
  
  We want to share the awesome things that God is doing so that others are encouraged to bring their children to participate more fully in our life together as Christians! From time to time, we use photos and videos in parish media (website, bulletin, etc.) and in the local community (newspapers, website, etc.).
  
  I give the following permission for my child's name and likeness to be included in such publicity releases. I DO give permission I DO NOT give permission
  
  By typing my name on the line below, I understand I am consenting to the above through an e-signature REQUIRED Please fill out this field. Please enter valid data.
- Child #5 info
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Age Please enter valid data.
  
  Current Grade Please enter valid data.
  
  Sex Male Female
  
  Crew Number Please enter valid data.
  
  T-Shirt Size
  (YXS, YS, YM, YL, AXS, AS, AM, AL, AXL, A2X, A3X)
  Please enter valid data.
  
  Special Needs (Allergies-food, medical, physical):
  
  Any special requests? (We’ll do our best to accommodate your request!)
  
  Publicity Releases/Photo Form Policy Agreement
  
  We want to share the awesome things that God is doing so that others are encouraged to bring their children to participate more fully in our life together as Christians! From time to time, we use photos and videos in parish media (website, bulletin, etc.) and in the local community (newspapers, website, etc.).
  
  I give the following permission for my child's name and likeness to be included in such publicity releases. I DO give permission I DO NOT give permission
  
  By typing my name on the line below, I understand I am consenting to the above through an e-signature Please enter valid data.
- Child #6 info
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Age Please enter valid data.
  
  Current Grade Please enter valid data.
  
  Sex Male Female
  
  Crew Number Please enter valid data.
  
  T-Shirt Size
  (YXS, YS, YM, YL, AXS, AS, AM, AL, AXL, A2X, A3X)
  Please enter valid data.
  
  Special Needs (Allergies-food, medical, physical):
  
  Any special requests? (We’ll do our best to accommodate your request!)
  
  Publicity Releases/Photo Form Policy Agreement
  
  We want to share the awesome things that God is doing so that others are encouraged to bring their children to participate more fully in our life together as Christians! From time to time, we use photos and videos in parish media (website, bulletin, etc.) and in the local community (newspapers, website, etc.).
  
  I give the following permission for my child's name and likeness to be included in such publicity releases. I DO give permission I DO NOT give permission
  
  By typing my name on the line below, I understand I am consenting to the above through an e-signature Please enter valid data.
- Please list emergency contact information and those authorized to pick up children OTHER THAN above listing:
- Who are you paying for? REQUIRED Please fill out this field.
- REGISTRATION FEES – Space is limited. Payment reserves your spot. All are welcome!
  If you need a full or partial scholarship simply email our Director (Conniew@ladyrosary.org). REQUIRED 35.0 – One child 60.0 – Two or more children 0.0 – Multiple child registration (Please pay on first child registered, then use this field for additional children you need to register in the same family. Thank you! 0.0 – OLOR Staff (please use section below) Please fill out this field.
- For Employed Staff Members of Our Lady of the Rosary
- NO REFUNDS
  Registrants after May 16 will not receive T-Shirts
- I understand there are 2 forms for EACH child (Covid & Medical Release) which I will need to print and fill out and turn in before my child can attend VBS. Forms will be available on the thank you confirmation page after payment is completed or in the document download section of this page.
  I Agree Please select this field.
Total:

Submit

Proceed to Payment

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Vacation Bible School (VBS)

Monday, June 14—Friday, June 18, 2021 6:00 PM—8:30 PM Completed Kindergarten—5th Grade

NO REFUNDS Registrants after May 16 will not receive T-Shirts

Monday, June 14—Friday, June 18, 2021

6:00 PM—8:30 PM

Completed Kindergarten—5th Grade

NO REFUNDS
Registrants after May 16 will not receive T-Shirts