Cathletics Registration

Parent Name

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

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.

Email address REQUIRED Please fill out this field. Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Number of children participating REQUIRED Please fill out this field.

Name of children and ages REQUIRED Please fill out this field. Please enter valid data.

Select one T-shirt per child

Kids Small T-shirts REQUIRED Please fill out this field.

Kids Medium T-shirts REQUIRED Please fill out this field.

Kids Large T-shirts REQUIRED Please fill out this field.

Kids X-Large T-shirts REQUIRED Please fill out this field.

Emergency Contact Name and phone of someone other than parent /guardian

Emergency Contact REQUIRED Please fill out this field. Please enter valid data.

Name of approved pick-up persons REQUIRED Please fill out this field. Please enter valid data.

Medical and Safety
Allergies( food, environmental, medication) , Medical conditions or special needs
*Please note that we will not have a nurse on-site. If you child requires medication during VBS hours, a parent or guardian must be present to administer it.

Consent REQUIRED Yes No Please fill out this field.

General Liability/Participation
I give permission for my child to participate in Saint Anne Catholic Church Cathletics Vacation Bible School activities. I understand reasonable precautions will be taken for safety.

Consent REQUIRED Yes No Please fill out this field.

Medical Authorization
In the event of an emergency, I authorize staff or volunteers to seek medical treatment for my child if I cannot be reached.

Consent REQUIRED Yes No Please fill out this field.

Photo & Video release
By registering, I grant permission for my cild to be photographed or recorde during Vacation Bible School activities. These images may be used by the parish for promotional purposes, including social media, website and print materials.

Consent REQUIRED Yes No Please fill out this field.

Would you like to help offset online payment processing fees? REQUIRED Yes, I can help -credit card Yes, I can help-ACH only No, thank you Please fill out this field.