VBS 2015 Registration Form & Information
OUR LADY OF JOY VACATION BIBLE SCHOOL June 22nd – 26th, 2015 Child’s Name: __________________________________________ Age:____ Grade completed 6/2015:____ Child’s Name: __________________________________________ Age:____ Grade completed 6/2015:____ Child’s Name: __________________________________________ Age:____ Grade completed 6/2015:____ Parent/Guardian: __________________________________________________________________________________ Address: ________________________________________________________________________________________ Phone we can reach you during VBS hours: ____________________________________________________________ Home email address:_______________________________________________________________________________ If not available in an emergency, notify:______________________________________________________________ Relationship: _________________ Phone: ___________________________ ALLERGIES/CONDITIONS: – include foods, insect stings, hay fever, asthma, etc. ________________________________________________________________________________________________ ________________________________________________________________________________________________ Please list any other health related information that may be useful to the adult in charge: __________________________________________________________________________________________________ I, the parent or guardian of the above mentioned child(ren), give permission for my child(ren) to participate in Our Lady of Joy’s VBS. In the event of any injury or illness to my child(ren) during his/her participation in VBS, I hereby give my permission for the necessary medical treatment to be given to my child(ren). Parent/Guardian Signature: _________________________________________ Date: ________________ Please mark t-shirt size(s) needed: ___YS(6-8)___YM(10-12)___YL(14-16)___YXL(18-20)___Adult S___M___L___XL I can help in the following area(s): _____Teen Aide _____Donate snack _____Adult helper _____Donate $$ for supplies _____Decorations $25.00 one child/$40.00 two children/$50.00 three or more children** Please make check payable to: Our Lady of Joy Mail to: Our Lady of Joy CCD Office, 2000 O’Block Road, Pittsburgh PA 15239 OR drop in offertory basket **Scholarships available upon request for those needing financial assistance Questions??? Please call Lisa at 412-335-8997 or 412-798-6209 ~Our Lady of Joy is proud to present Vacation Bible School 2015~ DATE: TIME: WHERE: AGES: June 22nd-26th 9:00 am – 12:00 pm Father Marchukonis Hall Preschool (4 yrs) to Grade 5 ~~~~~~~~~~~~ $25.00 one child/$40.00 two children/$50.00 three or more children** Please make check payable to: Our Lady of Joy **Scholarships available upon request for those needing financial assistance QUESTIONS?? Please call Lisa at 412-335-8997 or 412-798-6209
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