The 2018 VBS will take place June 18th through the 22nd at St. Michael's.

Please include child's first and last name. If you are registering more than one child, please fill out a separate form for each.
Parent/Guardian Name *
Parent/Guardian Name
Address *
Address
Home Phone/Main Phone *
Home Phone/Main Phone
Cell Phone/Alternate Phone *
Cell Phone/Alternate Phone
We have employed a special needs teacher and have trained buddies for special needs children. We are able to accommodate children enrolled in a special education program for emotional disabilities (ED) or those who are currently receiving treatment for a behavioral or mental health disorder. Due to our facility limitations we cannot accommodate children with physical disabilities at this time.
Photo/Video Consent *
I consent for photos and videos of my child to be taken during VBS and used on the St. Michael's website or in marketing materials.