Vacation Bible Camp 2018 Registration

Vacation Bible Camp
July 16-20, 2018 
9am - 12noon

Registration and Online Payment Form

For children entering Kindergarten-5th Grades

 

Welcome to Saint Bede the Venerable's Vacation Bible Camp.  Please complete and submit the registration below and we look forward to seeing  you on July 16th at 9:00 AM.  

Registration fees for Vacation Bible Camp are:

$75 for the First Child
$50 for each Sibling

Please complete the registration process below.  Your registration and payment via credit card, ACH or echeck will be processed at the same time.  If you wish to pay by paper check, please download a registration form from the website or pick one up in the Parish Center and bring your check and completed registration form to the Parish Center.  

You may be asked to fill out and sign a family emergency form.   If you have any questions or concerns be sure to call Moira Arjani at 818-949-4323.

We are delighted to have you join us and look forward to your family's participation at our "Shipwrecked - Rescued by Jesus" Vacation Bible Camp.

Family Information
Family Last Name
Address
Phone -- ext
Family E-mail
Parent/Guardian #1 Information
Name
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Occupation
Primary Phone Number -- ext
Secondary Phone Number -- ext
Marital Status
E-mail
Parent/Guardian #2 Information
Name
Occupation
Primary Phone Number -- ext
Secondary Phone Number -- ext
Marital Status
E-mail
Children To Be Registered
1st Child's Name
  •  
//
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List (Dropdown)
2nd Child's Name
  •  
//
  •  
List (Dropdown)
3rd Child's Name
  •  
//
  •  
List (Dropdown)
Permission to Use Child(ren's) Photo In Bulletin or St. Bede Website
Vacation Bible Camp Registration Processing Enter 1 in the quantity field for the First Child you are registering. If you are registering 1 or 2 more children, enter the number to be registered in the Sibling quantity field.  
Quantity Extended

First Child

Sibling

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In Case of Emergency
Person to be contacted if neither parent nor guardian(s) can be reached:
Name
  •  
Relationship to Child(ren)
Phone -- ext
Address
Health Insurance Provided For Child(ren)
Doctor's Name
Dentist's Name
Online Payment Processing

Order Summary
Subtotal
Discount
Sales Tax
Shipping & Handling
Total

Payment Type

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