VBS “Set Sail with the Holy Trinity” ______ REGISTRATION FORM VBS is June 17-21, from 9:00-12:00 every day except Friday ends at 12:45. ‘Meeting and pick up is in the gym. The early bird cost of VBS is $15.00 per a family, if paid by June 10. After that it goes up to $20.00. Payments can be sent to the Parish Rectory at 204 6" St. NW, Barberton, OH 44203. Checks are made payable to St. Augustine Church. Name(s) of Child (ren):____...--=-=~=—Ss Age:__—s—SSsShirt Size: eine Age: Shirt Size: Age: ___________ Shirt Size: _ Age:______ShirtSize:_____ Parent Name: eee EEE eee Parent Phone Number: —_ Who will be picking up the kids every day? In case of emergency Name: aes Number: Allergies/Health Issues: eee ____ (Initial) 1 hereby DO give permission to St. Augustine to treat my child in case of emergency. _____ (initial) 1 D0 NOT give permission to St. Augustine to treat my child in the case of an emergency. ‘Yes/No I give St. Augustine's permission to use any photos taken of my child during VBS. Iwaive, release, and discharge the diocese of Cleveland, St. Augustine School, St. Augustine Church and the employees and volunteers of the school, parish, and diocese from any claims arising of and/or resulting from harm, bodily injury, loss of life or property, damages and losses sustained by the child while participating in VBS. I furthermore acknowledge that it is my responsibility to provide adequate health insurance for the child (ren) listed above. I acknowledge if Ihave any questions or concerns I can contact Jaclyn Snyder at 330-745-1080. Parent Signature: gS eI ES ates SULName: Phone number: __ Email: Preferred method to be contacted: _ T-shirt Size: — am available to help these days (please circle): All Week (June 17-21) M T W TH F Area in which you want to help: __Registration __ Leader (High school and older) __ Assistant Leader — Games _Snacks _— Crafts Photography Group Leaders/Assistants ages to help with: __Pre-School _ Pre-K __ Kindergarten — 1" Grade __2™ Grade _. 3" Grade — 4" Grade —- 5" Grade —_ 6" Grade *MANDATORY Helper Meeting will be Friday, June 14 at 9:00 Emergency Contact Name: Number: Allergies/Health Issues: Ifyou are over 18, you must be Virtus trained. If you have not been trained we can offer a training beforehand. __ I HAVE been Virtus Trained.__ I HAVE NOT been Virtus trained. I give St. Augustine's permission to use any photos taken of me during VBS. Yes/No Parent's Signature if under 18: __ Zi Besser Questions? Contact Jaclyn Snyder at 330-745-1080 or dre.staugustineOgmail.com