Vacation Bible School Registration Vacation Bible School VBS is for children aged 5 by June 12, 2023, through rising 5th grade. Register by May 1. After you submit your form, you will be redirected to our payment page. Your registration is not complete until we receive your payment. Thank you! Parent Name* First Last Parent Email Primary* Parent Email Secondary Parent Primary Phone*Emergency Contact #1* First Last Emergency Contact #1 Phone*Emergency Contact #2* First Last Emergency Contact #2 Phone*VBS relies on adult helpers to keep registration costs low and ensure success. Please check how you can help (spots filled on a first come/first served basis.)*Check at least one - you may check more than one. Saturday, June 10 Decorating (Time TBD) Sunday, June 11 Decorating (Time TBD) Five Day Volunteer (Mon - Friday) Monday Volunteer 8:15 - 12:30 Tuesday Volunteer 8:30 - 12:30 Wednesday Volunteer 8:30 - 12:30 Thursday Volunteer 8:30 - 12:30 Friday Volunteer 8:30 - 12:30 I will bring in baked goods for the adult and teen volunteers I will send in $20 to help fund the volunteer luncheon Are you current with your Archdiocese of Atlanta Safe Environment certification?*If no or don't know, please contact Cora de Ruiter at cderuiter@judeatl.com or 770-394-3896, ext. 241 Yes No I don't know. Will you need babysitting for younger children?*Our Nursery welcomes children age 6 mo to 4 years Yes No Please list names and ages here*Consent*Saint Jude uses images, interviews, and videos of our children for a variety of internal and external communications. Our forms of internal and external communications include but are not limited to: print, such as newspapers, bulletins, and newsletters; photographs and digital images; film and videos; web posts, web pages, and image carousels. I hereby grant permission for Saint Jude the Apostle to use images and interviews of my child for internal or external communications. I agree to the media policyConsent*I understand that reasonable precautions will be taken to safeguard the health and well being of the participants in this Vacation Bible School, and that I will be notified as soon as possible in the event of any emergency. In the case of sickness or an accident, I authorize and give consent to the VBS team, or other associated volunteers of the VBS program, to obtain medical care from a licensed physician, hospital, or medical clinic for my s on/daughter in the event that myself or other legal guardian(s) cannot be reached. I hereby do release and forever discharge the Archdiocese of Atlanta and Saint Jude the Apostle Catholic Church from all manners of actions or claims, which I or my child(ren) shall or may have for any reason, arising from my child's attendance of the VBS program. I agree to the medical policy.How many children are you registering for VBS?*123Name Child #1* First Last Child #1 Grade Fall 2023*Young 5s (Age 5 by 6/12/23 but not rising K)Kindergarten1st2nd3rd4th5thChild #1 Date of Birth* Month Day Year Child #1 Gender*FemaleMaleChild #1 T-Shirt Size*Youth XSYouth SYouth MYouth LYouth XLDoes Child #1 have any allergies of note for VBS?* Yes No Please explain*Does Child #1 have any special needs that would affect their time at VBS?* Yes No Please explain*Child #2Name Child #2* First Last Child #2 Grade Fall 2023*Young 5s (Age 5 by 6/12/23 but not rising K)Kindergarten1st2nd3rd4th5thChild #2 Date of Birth* Month Day Year Child #2 Gender*FemaleMaleChild #2 T-Shirt Size*Youth XSYouth SYouth MYouth LYouth XLDoes Child #2 have any allergies of note for VBS?* Yes No Please explain*Does Child #2 have any special needs that would affect their time at VBS?* Yes No Please explain*Child #3Name Child #3* First Last Child #3 Grade Fall 2023*Young 5s (Age 5 by 6/12/23 but not rising K)Kindergarten1st2nd3rd4th5thChild #3 Date of Birth* Month Day Year Child #3 Gender*FemaleMaleChild #3 T-Shirt Size*Youth XSYouth SYouth MYouth LYouth XLDoes Child #3 have any allergies of note for VBS?* Yes No Please explain*Does Child #3 have any special needs that would affect their time at VBS?* Yes No Please explain*