St. Martin of Tours
Vacation Bible School
July 30 – August 3
9am– Noon - Narthex
SHIPWRECKED: RESCUED BY JESUS
Venture onto an uncharted island where kids survive and thrive.
Anchor kids in the truth that Jesus carries them through life’s storms.
VBS Participant Registration Form
For children entering grades K4 - 4th
Parents’/Guardians ______
Street Address ______
Email Address ______Daytime Phone # ______
Children’s Name(s) Grade School Attending
______T-Shirt Size XS - S – M- L- XL (Circle one)
______T-Shirt Size XS - S – M- L- XL (Circle one)
______T-Shirt Size XS - S – M- L- XL (Circle one)
Emergency Contact______Phone # ______
Who will pick-up your child(ren)? Name ______Phone #______
Are there any allergies, medical conditions or other special considerations we should know about?
Cost: $50 per child ($90 for 2 or more children) - Please make checks payable to St. Martin of Tours Parish.
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VBS Volunteers WE NEED VOLUNTEERS!!! Parents who help the whole week = One child is free!
Adults & Youth (8th –12th grade)
Name ______Adultor Youth (Youth – What Grade? ______)
Name ______Shirt Size (Circle one) S M L XL XXL
Email Address ______Phone # ______
Return registration form and payment by July 2, 2018
It’s important we receive your registration by July 2 to order materials and t-shirts.
Please see reverse side for important information!!
Your child may be recognized in our parish bulletin, newsletter or other media. This recognition may include your child being photographed. Names will not be used to identify children/youth.
I, the undersigned parent/guardian of ______, a minor, hereby release and agree to hold harmless the above named parish or any of its advisors, chaperones or persons connected with VBS from any liability, claims, damages for personal injury, property loss/damage which may result during the event.
Parent’s Signature: Date: ______Date ______
I hereby authorize the treatment, administration of anesthesia, and surgical treatment for my minor son/daughter ______in the event of a medical situation occurring during my absence or when the hospital or physician(s) are unable to contact me.
This authorization extends to any hospital, physician(s) and nursing personnel within the physician’s staff where treatment is rendered in the physician’s office. I release from medical responsibility and liability the hospital, physician(s) and nursing personnel for performing medical procedures acting on the authority of this medical treatment consent form, which such medical providers deem necessary for my minor child.
______
Insurance Company Policy Number
______Dated this ____ day of ______2018.
VBS Tuition: $______50.00/child; $90.00 2 or more
Enclosed is a check to
St. Martin of Tours Parish
Attn: VBS
7963 S. 116th St.
Franklin, WI 53132
414-425-1114
For more information Contact:Michelle Kreuser, St. Martin of Tours, 414-425-1114 or