VBS 2023 Registration

Clicking on the arrows at the right side of the field below will open registration fields for additional children.

Number of Children Being Registered 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.
- Age REQUIRED Please fill out this field. Please enter valid data.
- Grade in Fall of 2023 REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Female Male Please fill out this field.
- T-Shirt Size REQUIRED Please fill out this field. Please enter valid data.
- This T-shirt size is: REQUIRED Youth Adult Please fill out this field.
- Special Needs? If so, please list ... Please enter valid data.
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.
- Age REQUIRED Please fill out this field. Please enter valid data.
- Grade in Fall of 2023 REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Female Male Please fill out this field.
- T-Shirt Size REQUIRED Please fill out this field. Please enter valid data.
- This T-shirt size is: REQUIRED Youth Adult Please fill out this field.
- Special Needs? If so, please list ... Please enter valid data.
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.
- Age REQUIRED Please fill out this field. Please enter valid data.
- Grade in Fall of 2023 REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Female Male Please fill out this field.
- T-Shirt Size REQUIRED Please fill out this field. Please enter valid data.
- This T-shirt size is: REQUIRED Youth Adult Please fill out this field.
- Special Needs? If so, please list ... Please enter valid data.
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.
- Age REQUIRED Please fill out this field. Please enter valid data.
- Grade in Fall of 2023 REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Female Male Please fill out this field.
- T-Shirt Size REQUIRED Please fill out this field. Please enter valid data.
- This T-shirt size is: REQUIRED Youth Adult Please fill out this field.
- Special Needs? If so, please list ... Please enter valid data.

Mother's Information

Mother's Name REQUIRED Please fill out this field. Please enter valid data.
Mother's Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.

Father's Information

Father's Name REQUIRED Please fill out this field. Please enter valid data.
Father's Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.

Family Information

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.
Family Email REQUIRED Please fill out this field. Please enter an email address.

I'd like to volunteer (must have completed Protecting God's Children): Decorating Crafts Games Store

During VBS, I can be reached at this Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.

In case of emergency, if you cannot contact me, please call the Emergency Contact below.

Emergency Contact Person REQUIRED Please fill out this field. Please enter valid data.

Emergency Contact Phone REQUIRED Please fill out this field. Please enter valid data.

Payment Information

Cost Per Child50.0
Number of Children Registered Please enter an integer (number).

St. Daniel Catholic Church

Clarkston, MI

VBS 2023 Registration

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