Vacation Bible School Registration Vacation Bible School VBS is for children aged 5 by June 9 through rising 5th grade. Register by May 1. "*" indicates required fields Parent Name* First Last Parent Email Primary* Parent Email Secondary Parent Primary Phone*Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code 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. 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 Saturday (6/7/2025) decorating Sunday (6/8, 2025) Decorating $20 donation towards teen luncheon Snack/baked goods donation for volunteers Is your family a registered member of Saint Jude parish? Yes No On-site volunteer questionsAre you current with your Archdiocese of Atlanta Safe Environment certification?*If no or don’t know, please contact Judi Higgins at jhiggins@judeatl.com or 770-394-3896, ext. 235. 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 of children for the nursery*Consents and Child InformationConsent*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 2025*Young 5s (Age 5 by 6/9/25)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 2025*Young 5s (Age 5 by 6/9/25)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 2025*Young 5s (Age 5 by 6/9/25)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*Payment Information: $60.00 per childVBS Total Registration* Price: VBS Total Registration* Price: VBS Total Registration* Price: $20 VBS Donation to teen luncheon Price: VBS Total Credit Card*Card Details Cardholder Name Δ