Registration Packet. June 27th to July :00 am to 12:00 noon daily. Pre-K to Grade 4

Transcription

1 St. Aloysius 21 st Annual Vacation Bible School Registration Packet June 27th to July :00 am to 12:00 noon daily Pre-K to Grade 4 Registration will be conducted BY MAIL. Please make sure you fill out all three (3) pages of the registration form. The completed registration form with a registration fee of $65.00 per child should then be mailed to: Mrs. Cristiana Barrato 312 Silvermine Rd. New Canaan, CT Checks should be made payable to St. Aloysius. Registrations will be processed in the order in which they are received and spaces will be filled on a first come, first served basis. Confirmation of registration will be made via . Due to the need to order supplies for the camp, refunds will only be given on or before May 15, Please contact Shannon Goetz at (203) shannon_goetz@hotmail.com or Maura Gayer at (203) maura.gayer@sbcglobal.net if you have any questions or concerns. We look forward to a fun week with your children! Shannon Goetz and Maura Gayer Directors, VBS 2016

2 Family Information Last Name First Name Guardian #1: Guardian #2: Home Phone #: Cell Phone #: Address: Address: Camper Information Child #1 Child #2 Child #3 Child #4 Name: Age: Gender: (circle one) M / F M / F M / F M / F Grade Level Entering in Fall 2016: **Pre-K children must be 4 by 12/16, pottytrained with previous preschool experience. T-Shirt Information XS (2-4); S (6-8); M (10-12); L (14-16) Camper T-Shirt Size : Camper Friend Requests: Child #1 Child #2 Child #3 Child #4 **We will endeavor to accommodate friend requests. We will not guarantee placement. Medical Information Doctor's Name: Doctor's Phone Number: Medical Insurance Carrier: Policy Number: Allergies/Medication/Other: Child#1 Child #2 Child #3 Child #4 *Please note any allergies, medications or medical concerns we should be aware of. Page 1

3 Medical Release St. Aloysius VBS 2016 Registration Form I, as the parent/guardian of give the directors of Vacation Bible School at St. Aloysius parish in New Canaan, CT permission to seek medical care for my child(ren) in the event I cannot be reached. Signature: Date: Emergency Contact Information Name of Contact #1: Name of Contact #2: Home Phone Number: Cell Phone Number: Home Phone Number: Cell Phone Number: Permission to Pick-Up *Please list the name(s) & relationship Name: Relationship to Camper: to the child of anyone who has your permission to pick-up your child or Name: Relationship to Camper: children from camp. Name: Relationship to Camper: "Final Concert and Celebration" *On Friday, camp will conclude with a Plan on Attending: Yes / No concert in the church followed by a short celebration in the gym at St. Aloysius School. Please indicate if you plan to attend the celebration and how many people will be eating lunch. Number of Adults: Number of Children: Page 2

4 Family Participation/Volunteer Policy Vacation Bible School operates entirely on the time and creativity of the parents whose children participate in the camp. Camp would simply not be possible without the adult volunteers. As a result, St. Aloysius VBS requires that each family participate either by volunteering to help at one (1) day of camp or with one (1) camp-related project. We are aware that certain circumstances may preclude you from assisting at the camp (even for just one (1) day), please make us aware of those situations and we will work with you. Please indicate below all of the days that you are available to assist at camp: Monday Tuesday Wednesday Thursday Friday **Note: You will only be assigned to volunteer at one (1) day of the camp unless you are willing and able to do more. We love having weekly volunteers and would welcome any additional time/days that you can offer. Virtus Training: The church requires that all volunteers that will be working with children must complete a course called "Protecting God's Children." Please indicate if you have completed this course. Yes No Volunteer Interests: Please circle the areas of the camp that you are interested in volunteering. Classroom Assistant Arts & Crafts Room Playground Monitor Water Day Monitor Friday Celebration Grade Preference: Adult-supervised babysitting is provided by our wonderful youth assistants daily for our parent volunteers. Please indicate below if you will need babysitting during the week of camp. Yes No Photo Release Candid photos of the campers will be taken through out the week. You will receive a slideshow of these photos daily via . Often some of these pictures are used in the newspaper, on the St. Aloysius website or in the bulletin in conjunction with articles concerning the camp. Please indicate below whether you consent to the use of your camper or campers photo in such a manner. Thank you for your assistance. I consent I do not consent Page 3

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