VBS 2023 Registration Form

Notification email.

Thank you for registering for VBS 2023.

Click here to make the payment for child/ren attending VBS. $40 per child (5th -8th grade volunteers - $35)

If you have any questions, please contact the Parish office 858.279.2735

Ascension 2023 Vacation Bible School

Students Name:

First Name*

Last Name*

Grade in Fall 2023

Required*

This is the grade the student will be entering in Fall 2023

Attending/Participate or Volunteer?

	Grades 1-4 select participant Grades 5-6 choose participant or Volunteer Grades 7- 12 select Volunteer/Team only
Student will be attending VBS as	Required*

Parent Information:

Parent Name:

First Name*

Last Name*

Phone Number:

Required* --

Parent E-mail:

Required*

Medical Information

Allergies/Medical Conditions:
Required*

	No
	Yes

Details of Allergies/Medical Condition

Emergency Contact Information

This person will be contacted in the event we are not able to contact the listed parent in the case of an emergency

Emergency Contact Name:

First Name*

Last Name*

Emergency Contact Phone:

Required* --

Emergency Contact E-mail:

Required*

Additional Authorized Adult/s for pick up

Anyone not noted on this list will not be authorized to pick up your child/children.

Authorized Adult 1)

First Name

Last Name

Authorized Adult 2)

First Name

Last Name

Tuition Due:

	$40 per student/$35.00 5th-8th grade student volunteer (Registration closes June 12th - 6.00am)

Releases

Message

I grant to Ascension Catholic Church, the right to take photographs of me and my family in connection with Church activities. I authorize Ascension Catholic Church, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that Ascension Catholic Church may use such photographs of me and my family with or without their name and for any lawful purpose, including for example such purposes of publicity, illustration, advertising, and Web/social media content.

Parent Signature:
Required*

	I grant photo release
	I do not grant photo release

Liability Release

As parent and/or legal guardian, I remain legally responsible for any personal actions taken by child listed below . I the undersigned agree on behalf of myself, my child’s other parent, listed below, if known or living, my child named herein, or our heirs, successors, and assigns, to hold harmless and defend Ascension Catholic Church, it officers, directors and agents, and the Diocese of San Diego, chaperones, or representatives associated with the event with respect to any and all actions, claims or demands that may be made or brought against the parish, its officers, directors and agents, and the Diocese of San Diego, chaperons, or representatives associated with the event, arising from or in connection with my child’s attending the event or in connection with any illness or injury or cost of medical treatment in connection therewith, and I agree to compensate the parish, its officers, directors and agents, and the Diocese of San Diego, chaperons, or representative associated with the event for reasonable attorney’s fees and expenses arising in connection therewith.

Parent Name:

First Name*

Last Name*

Parent Signature:

I agree

Date

Required* //

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