Caring for Our Planet

Vacation Bible School

Children entering Kindergarten – 6TH grade

We must have a form for each child attending.

Child’s Name ______grade entering______

Cell number______Address ______

Volunteers are needed to help with teaching, crafts, games and serving snacks. If you can help, please fill out the following.

Name ______

Phone ______Position ______
VBS Fee $25.00 includes t-shirt T-shirt size: ys ___ ym ___ yl___ yxl___
pd._____ cash ______check#_____ donation ______
date ______Staff Initial ______
Must have a medical ____ & liability waiver____ for each child attending it is kept on file until August of current year.
FOR OFFICE USE ONLY:
Catechist ______Room ____grade _____

Diocese of Galveston-Houston

Most Holy Trinity Parish

Vacation Bible School

Participant’s Name: ______Date of Birth: ______

Home Address: ______

City ______Zip Code ______

Parents/Guardians: ______

Home Phone: ______Cell Phone Number______Grade: ______Age: ______Sex: ______

CONSENT & LIABILITY WAIVER

Important! To be filled out by the Parent/Guardian for youth under 18 years of age. If participant is 18 years of age or older, consent must be signed by the individual.

I (name of parent/guardian) ______, grant permission for my child, (participant’s name) ______, to participate in

Most Holy Trinity Vacation Bible School, to be held on July 17th-20th, from

9 am to 12 noon on the Church Grounds on 1713 N. Tinsley.

I agree on behalf of myself, my child’s other parent if known or living (name of parent) ______. My child named herein, our heirs, or successors, and assigns, to hold harmless and defend the Diocese of Galveston-Houston, the sponsoring parish (its pastor, DRE, CRE, youth minister, other agents, etc.) or any representative associated with the scheduled activity unless the parties involved were careless or negligent.

______

Signature (Parent/Guardian)Date

______

Signature (Participant 18 years of age or older must sign own consent)Date

PHOTOGRAPHY CONSENT

As parent/guardian, I understand that promotional pictures (individual and group) may be taken during this event. I give permission for my son’s/daughter’s picture to be used for promotional materials (newsletter, web page, calendars, power point, etc. in highlighting the event.

______

Signature (Parent/Guardian)Date

Participation in this event requires that a current, completed Medical Consent form be on file in the

Faith Formation Office.

04-26-2017