2023 VBS Registration Form: &lt;br&gt;Participants and Youth Leaders

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Parent/Guardian First Name REQUIRED Please fill out this field. Please enter valid data.
Parent/Guardian Last Name REQUIRED Please fill out this field. Please enter valid data.
Address REQUIRED Please fill out this field. Please enter valid data.
City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.
Registered Parish REQUIRED Please fill out this field.
Email REQUIRED Please fill out this field. Please enter an email address.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Full Name of Emergency Contact other than a Parent or Guardian REQUIRED Please fill out this field. Please enter valid data.
Phone Number for Emergency Contact other than a Parent or Guardian REQUIRED Please fill out this field. Please enter valid data.
Relationship to Emergency Contact other than a Parent or Guardian REQUIRED Please fill out this field. Please enter valid data.
Do we have permisssion to display your child(ren)'s names and or photographic images, including video, onto our website, newletters, bulletins, facebook/instagram/twitter page or other forms of communication? REQUIRED Yes No Please fill out this field.
- Total Number of Child Participants and Youth Leaders from your family REQUIRED Please fill out this field.
- Child 1
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Gender REQUIRED Female Male Please fill out this field.
  - Date of Birth REQUIRED Please fill out this field. Please enter a date.
  - T-Shirt Size REQUIRED Please fill out this field.
  - Age on July 31 - Child Participant
  - Age of Youth Volunteer Leader (on July 31)
  - We will reach out to youth leaders at a later date to get more information about what roles they might to have during VBS.
  - Returning Participant in VBS? No, this participant is new (Welcome!) Yes, in the Concord-Carlisle Catholic Collaborative Yes, in another Catholic Community
  - Allergies or other medical conditions
- Child 2
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Gender REQUIRED Female Male Please fill out this field.
  - Date of Birth REQUIRED Please fill out this field. Please enter a date.
  - T-Shirt Size REQUIRED Please fill out this field.
  - Age on July 31 - Child Participant
  - Age of Youth Volunteer Leader (on July 31)
  - We will reach out to youth leaders at a later date to get more information about what roles they might to have during VBS.
  - Returning Participant in VBS? No, this participant is new (Welcome!) Yes, in the Concord-Carlisle Catholic Collaborative Yes, in another Catholic Community
  - Allergies or other medical conditions
- Child 3
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Gender REQUIRED Female Male Please fill out this field.
  - Date of Birth REQUIRED Please fill out this field. Please enter a date.
  - T-Shirt Size REQUIRED Please fill out this field.
  - Age on July 31 - Child Participant
  - Age of Youth Volunteer Leader (on July 31)
  - We will reach out to youth leaders at a later date to get more information about what roles they might to have during VBS.
  - Returning Participant in VBS? No, this participant is new (Welcome!) Yes, in the Concord-Carlisle Catholic Collaborative Yes, in another Catholic Community
  - Allergies or other medical conditions
- Child 4
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Gender REQUIRED Female Male Please fill out this field.
  - Date of Birth REQUIRED Please fill out this field. Please enter a date.
  - T-Shirt Size REQUIRED Please fill out this field.
  - Age on July 31 - Child Participant
  - Age of Youth Volunteer Leader (on July 31)
  - We will reach out to youth leaders at a later date to get more information about what roles they might to have during VBS.
  - Returning Participant in VBS? No, this participant is new (Welcome!) Yes, in the Concord-Carlisle Catholic Collaborative Yes, in another Catholic Community
  - Allergies or other medical conditions
- Child 5
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Gender REQUIRED Female Male Please fill out this field.
  - Date of Birth REQUIRED Please fill out this field. Please enter a date.
  - T-Shirt Size REQUIRED Please fill out this field.
  - Age on July 31 - Child Participant
  - Age of Youth Volunteer Leader (on July 31)
  - We will reach out to youth leaders at a later date to get more information about what roles they might to have during VBS.
  - Returning Participant in VBS? No, this participant is new (Welcome!) Yes, in the Concord-Carlisle Catholic Collaborative Yes, in another Catholic Community
  - Allergies or other medical conditions
- Child 6
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Gender REQUIRED Female Male Please fill out this field.
  - Date of Birth REQUIRED Please fill out this field. Please enter a date.
  - T-Shirt Size REQUIRED Please fill out this field.
  - Age on July 31 - Child Participant
  - Age of Youth Volunteer Leader (on July 31)
  - We will reach out to youth leaders at a later date to get more information about what roles they might to have during VBS.
  - Returning Participant in VBS? No, this participant is new (Welcome!) Yes, in the Concord-Carlisle Catholic Collaborative Yes, in another Catholic Community
  - Allergies or other medical conditions

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2023 VBS Registration Form: Participants and Youth Leaders

2023 VBS Registration Form:
Participants and Youth Leaders