Register for CVBS 2022

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catholic vacation bible school
- Spirit Lead Me!
  June 20th-24th, 2022, 8:45am - Noon
  Holy Family Academy
  
  Grades: Entering Pre-K - 6 in the fall
  (Minimum age: 4 years old by Sept. 1, 2022)
  
  Registration Fee: $30 per child
  - Maximum 90.00 per family
  - Scholarships available
  
  - Registration is available online only
  - You must fill out one registration form per child
  - Registration deadline is June 13th
  
  If you can help or have any questions, please contact:
  Marilyn Grutsch: grutsch@usfamily.net or 952.240.6191
  Katie Norton: katie@nortoncrew.com or 952.221.9413
  
  Discipleship Sign-Up Here
register here
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Section One: Demographics
  
  Student's First and Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Payment REQUIRED Please fill out this field.
  
  Payment Amount REQUIRED 30.0 – Paying in Full 0.0 – Scholarship Requested 0.0 – This child is my 4th attending student - no payment needed Please fill out this field.
  
  Street 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.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Birthday REQUIRED Please fill out this field. Please enter a date.
  
  Entering Grade REQUIRED Please fill out this field.
  
  T-Shirt Size REQUIRED Please fill out this field.
  
  Previous Attendance REQUIRED Please fill out this field.
  
  Student's Parish (Name and City) REQUIRED Please fill out this field. Please enter valid data.
  
  Parent #1 First and Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Parent #1 Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Parent #2 First and Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Parent #2 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.
  
  If you are not a HFC Parishioner, how did you learn about this program? REQUIRED We are Parishioners Family member or Friend Holy Family Website Facebook or other Social Media Local Advertisement Please fill out this field.
  
  Section Two: Medical Matters
  
  Medication my child is taking at present: REQUIRED Please fill out this field.
  
  Allergies/Other Medical Conditions REQUIRED Please fill out this field.
  
  Family Health Plan Carrier Number
  
  Family Doctor Name and Phone Number
  
  Emergency Medical Treatment:
  In the event of an emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital or doctor In the event of an emergency if you are unable to reach me at the above numbers, contact:
  
  Emergency Contact First and Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship 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.
  
  Section Three: Permissions
  
  Please indicate if you give permission for your child's picture to be used in HFA/HFC photos and videos for our website and printed materials.
  
  Please Choose One REQUIRED Please fill out this field.
  
  I grant permission for my child to participate in this parish activity. This activity will take place under the guidance and direction of parish employees and/or volunteers from Holy Family Church.
  
  As a parent and/or legal guardian, I remain legally responsible for any personal actions taken by the above-named minor ("participant"). I agree on behalf of myself, my child named herein, or our heirs, successors, and assigns, to hold harmless and defend Holy Family Church, its officers, directors and agents, and the Archdiocese of Saint Paul and Minneapolis, coaches, chaperones, or representatives associated with the activity for reasonable attorney's fees and expenses arising in connection therewith.
  
  By submitting this form, you acknowledge that you have read and understood the agreement and agree to all its terms and conditions.
  
  Sign Below
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date REQUIRED Please fill out this field. Please enter a date.
  
  Total:
  
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5900 West Lake Street	Phone: 952.929.0113	Office Hours (Mon.-Fri.):	Email:
St. Louis Park, MN 55416	Fax: 952.915.1474	8:30 AM - 4:30 PM	staff@hfcmn.org

Discipleship Sign-Up Here

Section One: Demographics

Section Two: Medical Matters

Section Three: Permissions