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Vacation Bible School Registration

- Faith Formation
  - EDUCATION
    
    Parish School of Religion
    OCIA
    Vacation Bible School
    
    Vacation Bible School Registration
    
    Vacation Bible School Volunteer Application
    
    Resources
  - SACRAMENTAL PREPARATION
    
    First Reconciliation & First Communion
    Confirmation
  - OUR SCHOOLS
    
    Holy Family Pre-K3
    Holy Family School

The maximum number of form submissions has been reached. This form is currently not available.
- Number of Children Registering REQUIRED Please fill out this field.
  
  Child 1
  
  Child's Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Indicate Gender REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade Entering this Fall REQUIRED Please fill out this field. Please enter valid data.
  
  Known Allergies
  
  Child 2
  
  Child's Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Indicate Gender REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade Entering this Fall REQUIRED Please fill out this field. Please enter valid data.
  
  Known Allergies
  
  Child 3
  
  Child's Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Indicate Gender REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade Entering this Fall REQUIRED Please fill out this field. Please enter valid data.
  
  Known Allergies
  
  Child 4
  
  Child's Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Indicate Gender REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade Entering this Fall REQUIRED Please fill out this field. Please enter valid data.
  
  Known Allergies
  
  Child 5
  
  Child's Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Indicate Gender REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade Entering this Fall REQUIRED Please fill out this field. Please enter valid data.
  
  Known Allergies
  
  Child 6
  
  Child's Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Indicate Gender REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade Entering this Fall REQUIRED Please fill out this field. Please enter valid data.
  
  Known Allergies
- Parent/Guardian Information
  
  Parent/Guardian Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  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.
- Additional Parent/Guardian Info
  
  Additional Parent/Guardian Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Please fill out this field. Please enter valid data.
- Emergency Information
  
  Emergency Contact Name REQUIRED Please fill out this field. Please enter valid data.
  
  Emergency Contact Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Doctor Name REQUIRED Please fill out this field. Please enter valid data.
  
  Doctor Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Media Consent
  
  Holy Family Church may take photographs and video recordings of the children and activities at VBS to be displayed on our website and/or social media.
  
  Do you give Holy Family Church permission to use pictures containing the children listed above on the parish's website and/or social media? REQUIRED Yes No Please fill out this field.
  
  Please type your full name to indicate permission REQUIRED Please fill out this field. Please enter valid data.
- REGISTRATION FEE
  
  Registration Fee: $30
  
  Number of Children REQUIRED
  Select the number of children registering to calculate the Registration Fee total.
  Please fill out this field.
- Payment is required to complete your registration.
  
  You may pay the registration fee by selecting the "Pay Now" button below, or you may pay by check made payable to Holy Family Church.
  
  Checks may be submitted using one of the following methods:
  ▸ Place your Registration Fee in an envelope marked VBS in the Sunday collection at Mass.
  ▸ Bring your Registration Fee in an envelope marked VBS to the church office (drop box available near office door).
  ▸ Mail your Registration Fee to P.O. Box 290, Port Allen, LA 70767.
  Thank you for registering! If you have additional questions, please contact Elizabeth Schroeder, Director of Religious Education, at (225) 336-4463 or [email protected].
Total:

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Vacation Bible School Registration

Holy Family Church may take photographs and video recordings of the children and activities at VBS to be displayed on our website and/or social media.

Registration Fee: $30

Thank you for registering! If you have additional questions, please contact Elizabeth Schroeder, Director of Religious Education, at (225) 336-4463 or [email protected].