VACATION BIBLE SCHOOL 2012 Registration Form
Preschool (3 yr olds)----those entering 5th Grade 8:30 AM-Noon
Closing Program, Friday June 29, after 8 a.m. Mass
Registration Fee:$15 per child – Register and pay by May 15TH and receive
a FREE Music CD (only one CD per family)
Late fee of $5.00 per family, if registering after June 19
Family Name ________________________Phone # ______________________
Address ________________________ Parent's Name ___________________
Child's Name Grade Entering in Fall 2012 (age if Pre-K) Date of Birth
______I would be interested in being an adult station leader during VBS
This is to certify that my child(ren), _______________________, has/have my permission and consent to attend
any and all activities and programs sponsored in coordination with the Vacation Bible School Program of Sts.
Peter & Paul Parish in New Braunfels, TX, which will be held during the summer of 2012. I hereby release the
Religious Education Program of Sts. Peter & Paul Parish in New Braunfels, TX and its sponsors from any liability
for injuries or fatalities suffered by my child(ren) while under the supervision of the sponsors of these activities.
__________ _________________________________ __________________________________________
Date Parent’s Signature Print Name of Parent
Does your daughter/son have any allergies? (Please include medication allergies) Yes ______ No ______
If yes, what are they? __________________________________
In case of an accident, I hereby give my permission for any responsible adult to give emergency medical treatment
for my daughter/son.
In case of an emergency, and I am not available, please notify:
Name:_________________________ Relationship:_________________ Phone: (____)____________
I, ____________________________________, consent to the use by Sts. Peter & Paul Church of any photographs,
slides or other visual reproductions in which my child(ren) and/or I may appear. I understand that these materials
are being used for promotion of the youth programs. I release the staff and volunteers of Sts. Peter & Paul Church
form any liability connected with the use of my and/or my child(ren) picture as part of the above activities.
Date _____Name of parent/guardian _____________________________Signature ____________________________
June 25-29 8:30-Noon
for 3 Yr olds- incoming 5th graders
Please complete the registration form on the back of this flyer. Register and pay by May 15th and receive
a free music CD. (Only one CD per family)
Middle School Support Team For incoming 6th-8th graders
Help with the preparations at one of the workdays between now and mid June. Serve in the morning as a
guide or station helper. Stay in the afternoons for a variety of fun activities-swimming, ice skating, and
more. Email email@example.com or call 625-4531 ext 201 to find out how to sign up.
Adult station leaders and High School helpers
Work with the small groups at one of the centers—bible story, memory verse, snack, recreation, theme
center, crafts, music and art. Email firstname.lastname@example.org or call 625-4531 ext 201 to find out how
to sign up.