Read the daily quote from Pope Francis

 

Vacation Bible School

Vacation Bible School Registration Form
This year's theme is Deep Sea Discovery.
St. Patrick Church, 3350 S. Alameda St
June 26-30, 2017
9 a.m. - 12:15 p.m.
Fees
$25 for first child and $20 for each additional child
Registration form and fees are due by May 31st.
Late Registration
All forms and fees are due by May 31st to avoid late registration fees.
Late Registration fee $40
Child One Information
Name
  •  
Gender
  •  
Grade current/completed
  •  
Please list the grade the child has just completed this May/June.
Age
  •  
T-Shirt Size
  •  
Child Two Information
Name
  •  
Gender
  •  
Age
  •  
Grade current/completed
  •  
Please list the grade the child has just completed this May/June.
T-Shirt Size
  •  
Child Three Information
Name
  •  
Gender
  •  
Age
  •  
Grade current/completed
  •  
Please list the grade the child has just completed this May/June.
T-Shirt Size
  •  
Child Four Information
Name
  •  
Gender
  •  
Age
  •  
Grade current/completed
  •  
Please list the grade the child has just completed this May/June.
T-Shirt Size
  •  
Family Information
Parents/Guardians' Name(s)
  •  
Address
  •  
Contact Information
Home Phone --
  •  
Cell Phone --
  •  
Work Phone -- ext
  •  
E-mail
  •  
Parental Authorization/Release Form
I give permission for my child to take part in the St. Patrick Religious Education Program activities on church grounds. In consideration of the opportunity for my child to participate and fully recognizing that such an undertaking involves an element of risk, we assume all risks and hazards incidental to such participation and do hereby release, absolve, indemnify, and agree to hold harmless the Diocese of Corpus Christi and St. Patrick Church, its agents, employees and officers, and chaperones, leaders, organizers, sponsors, and persons transporting our child to and from these activities. Neither the Diocese of Corpus Christi nor St. Patrick Church nor any of said persons shall be held financially responsible for any injury, illness, or death incurred as a direct or indirect result of this activity. I, the undersigned, have read this release and understand all its terms and execute it voluntarily and with full knowledge of its significance. In the event of an emergency and I cannot be contacted, I hereby authorize that emergency treatment may be administered
Medications your child takes regularly
  •  
If necessary, may I give your child Tylenol and/or Imodium A-D?
  •  
I also give permission to St. Patrick's VBS to post appropriate photos of my child on the parish group website, facebook, promotional flyers and in the bulletin.
  •  
Electronic Signature
  •  
By entering my name here, I am acknowledging that I have read and agree that the above information is correct and this will serve as my electronic signature.
Date //
  •  
To Pay Fees
To pay fees, please create an account in Online Giving (if you do NOT already have one) or click on Quick Give and pay under the fund Vacation Bible School. If you prefer, you can drop off your check to the Church Rectory or CCD Office.
FORM WILL NOT BE SENT UNLESS YOU CLICK ON THE SUBMIT BUTTON
Security
Spam Capture For security purposes, please enter the text that appears in the box below.
  •  
 
Online Giving

Online Giving

Secure and Convenient Donate now!