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Vacation Bible School

2023 VACATION BIBLE SCHOOL
~WORK IN PROGRESS~
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  I understand that I must be a parent or legal guardian to register a child for VBS.
  I Agree Please select this field.
  
  Parents/Legal Guardians REQUIRED Please fill out this field.
  
  Parent/Legal Guardian 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Physical 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.
  
  Parent/Legal Guardian 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Physical 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.
  
  Parent/Legal Guardian 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Physical 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.
  
  Parent/Legal Guardian 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Physical 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.
  
  How many children are you registering? REQUIRED
  Children must be registered by a legal guardian.
  Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade next school year: REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Shirt Size REQUIRED
  Registrations submitted after June 30 cannot be guaranteed the requested shirt size.
  Please fill out this field.
  
  Please provide a brief description of any allergies, medical conditions or other helpful information here:
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade next school year: REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Shirt Size REQUIRED
  Registrations submitted after June 30 cannot be guaranteed the requested shirt size.
  Please fill out this field.
  
  Please provide a brief description of any allergies, medical conditions or other helpful information here:
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade next school year: REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Shirt Size REQUIRED
  Registrations submitted after June 30 cannot be guaranteed the requested shirt size.
  Please fill out this field.
  
  Please provide a brief description of any allergies, medical conditions or other helpful information here:
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade next school year: REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Shirt Size REQUIRED
  Registrations submitted after June 30 cannot be guaranteed the requested shirt size.
  Please fill out this field.
  
  Please provide a brief description of any allergies, medical conditions or other helpful information here:
  
  Child 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade next school year: REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Shirt Size REQUIRED
  Registrations submitted after June 30 cannot be guaranteed the requested shirt size.
  Please fill out this field.
  
  Please provide a brief description of any allergies, medical conditions or other helpful information here:
  
  Child 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade next school year: REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Shirt Size REQUIRED
  Registrations submitted after June 30 cannot be guaranteed the requested shirt size.
  Please fill out this field.
  
  Please provide a brief description of any allergies, medical conditions or other helpful information here:
  
  Child 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade next school year: REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Shirt Size REQUIRED
  Registrations submitted after June 30 cannot be guaranteed the requested shirt size.
  Please fill out this field.
  
  Please provide a brief description of any allergies, medical conditions or other helpful information here:
  
  Child 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade next school year: REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Shirt Size REQUIRED
  Registrations submitted after June 30 cannot be guaranteed the requested shirt size.
  Please fill out this field.
  
  Please provide a brief description of any allergies, medical conditions or other helpful information here:
  
  # Adults, other than legal guardians, who may pick up my child(ren): REQUIRED
  Do not include legal guardians.
  Please fill out this field.
  
  Authorized Adults: 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name 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.
  
  Authorized Adults: 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name 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.
  
  Authorized Adults: 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name 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.
  
  Student Agreement/Code of Conduct:
  I have discussed with my child(ren) how important it is to listen attentively, follow directions and be respectful to everyone.
  I Agree Please select this field.
  
  Hold Harmless Agreement
  I agree on behalf of myself, my child named herein, or our heirs, successors, and assigns, to hold harmless and defend Our Lady of the Gulf , its officers, directors, employees and agents, and the Archdiocese of Mobile, its employees and agents, chaperones, or representatives associated with the event, from any claim arising from or in connection with my child attending the event or in connection with any illness or injury (including death) or cost of medical treatment in connection therewith, and I agree to compensate the parish/school/institution, its officers, directors and agents, and the Archdiocese of Mobile, its employees and agents and chaperones, or representative associated with the event for reasonable attorney’s fees and expenses that may incur in any action brought against them as a result of such injury or damage, unless such claim arises from the negligence of the parish/school/institution/archdiocese.
  I Agree Please select this field.
  
  MINOR (CHILD) PHOTO RELEASE FORM
  I grant Our Lady of the Gulf Parish my permission to use photographs taken during VBS for any legal use, including but not limited to: publicity, copyright purposes, illustration, advertising, and web content.
  Furthermore, I understand that no royalty, fee or other compensation shall become payable to me by reason of such use.
  I Agree Please select this field.
  
  COVID-19 WAIVER
  The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and as a result, social distancing is recommended. Our Lady of the Gulf Parish will follow state and local standards of conduct and has put in place reasonable preventative measures to reduce the spread of COVID-19 at its parish. However, even though such standards will be followed and reasonable measures put into place, OLG cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attendingOLG VBS could increase your risk and your child(ren)’s risk of contracting COVID-19. By signing this agreement, I acknowledge the contagious nature of COVID-19 and that my child(ren) and I may be exposed to or infected by COVID-19 by attending and participating in related activities at OLG VBS and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at OLG VBS may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Our Lady of the Gulf Parish employees, volunteers, and program participants and their families. I confirm that there are no necessary changes to the Medical Information Consent form for my child that I previously submitted. If there are any necessary changes, I will complete another Medical Information Consent form. I further agree on behalf of myself, my child named herein, and my spouse, our heirs, successors, and assigns, to release, and hold harmless Our Lady of the Gulf Parish and the Archdiocese of Mobile, their members, directors, officers, employees, agents and representatives (“Releasees”) associated with the event arising from or in connection with any Health Emergency Claim under Alabama law or the negligent acts or omissions of the Indemnitees ONLY in regard to prevention of the spread of the COVID-19 virus. I SPECIFICALLY ACKNOWLEDGE AND AGREE TO THE FOREGOING.
  I Agree Please select this field.
  
  Optional Donation: $ Please enter a positive decimal.
  
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  Covid-19 Consent form and Liability Waiver
  Covid-19 Volunteer Waiver
  
  Driver Information Sheet
  
  Parent Consent Form
  
  Medical Form
  
  Incident Report
  
  Adult Liability Waiver