christ the king parish

"Love the Lord, Encounter Christ, Serve all people."
Regina, Saskatchewan

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VBS Participant Registration

- Ministries & Groups

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- Parent/Guardian Information
- 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.
- Participant(s) REQUIRED 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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Going into grade... REQUIRED Please fill out this field.
  
  Sex REQUIRED Please fill out this field.
  
  Allergies/Medical Concerns
  
  Do you have any friends you'd like to be placed with? We will do our best, but we cannot promise to fill all requests.
  
  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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Going into grade... REQUIRED Please fill out this field.
  
  Sex REQUIRED Please fill out this field.
  
  Allergies/Medical Concerns
  
  Do you have any friends you'd like to be placed with? We will do our best, but we cannot promise to fill all requests.
  
  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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Going into grade... REQUIRED Please fill out this field.
  
  Sex REQUIRED Please fill out this field.
  
  Allergies/Medical Concerns
  
  Do you have any friends you'd like to be placed with? We will do our best, but we cannot promise to fill all requests.
  
  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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Going into grade... REQUIRED Please fill out this field.
  
  Sex REQUIRED Please fill out this field.
  
  Allergies/Medical Concerns
  
  Do you have any friends you'd like to be placed with? We will do our best, but we cannot promise to fill all requests.
  
  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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Going into grade... REQUIRED Please fill out this field.
  
  Sex REQUIRED Please fill out this field.
  
  Allergies/Medical Concerns
  
  Do you have any friends you'd like to be placed with? We will do our best, but we cannot promise to fill all requests.
  
  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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Going into grade... REQUIRED Please fill out this field.
  
  Sex REQUIRED Please fill out this field.
  
  Allergies/Medical Concerns
  
  Do you have any friends you'd like to be placed with? We will do our best, but we cannot promise to fill all requests.
- Emergency Contact Information
  
  In the event of an emergency, and we cannot reach you, who else could we contact?
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Relationship to child 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.
- Anything else we should know?
- Parent/Guardian Consent
  By clicking "I Agree," I give permission for my child(ren) to attend Vacation Bible School 2025 at Christ the King Parish and I take responsibility for him/her/them. I understand that she/he/they is/are to participate in the above stated activity. I certify that the information provided on this registration form is true and complete. I understand that this information will remain confidential and is the property of the Parish. As well, I understand the applicant’s name and phone number will be given to the personnel involved in the activity.
  I also understand that my child(ren) will remain at the entire activity until I pick up my child. If someone else will be picking up my child, I will inform the Registration Team.
  I understand the contents of this registration form.
- I Agree REQUIRED Yes No Please fill out this field.
- Photo Release
  Photos will be taken during Vacation Bible School. By clicking "I Agree," I understand that these photos are the property of the photographer and he/she may edit, alter, copy, exhibit, publish or distribute this photo for purposes of publicizing Christ the King Parish activities or for any other lawful purpose. In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photograph. Christ the King Parish Vacation Bible School has consent to use my likeness in a photograph in any and all of its promotions or publications, including website and social media, without payment or any other consideration. Christ the King Parish Vacation Bible School will not trade, share or sell to any outside party and content will remain property of the photographer. I hereby certify that I am the participant OR the parent/guardian of the participant(s) named above, and do hereby give my consent without reservation to the above mentioned Photo Release.
- I Agree REQUIRED Yes No Please fill out this field.
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