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Vacation Bible School Registration
2024
Please fill in this information form to register for our Vacation Bible School (VBS). This year's VBS will again be held at St. Luke, 7517 N. Point Road, Edgemere. Once you have completed and submitted this form for each child registering, you will be sent an email with tuition payment information. If you have any issues, please contact Lorraine Lupse at the Faith Formation office: 410-216-5272.
The Registration Fee is $25 per child.
Children in grades PreK-4 through grade 5 are invited to attend; based on your child's grade as of May 2024.
Please fill in this form for each child you are registering.
Student Name
Gender
Female
Male
Female
Current grade for '23/'24 school year
Pre-K4
PreK-5
K
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2
3
4
5
Pre-K4
School that child attends
Home address of child
Type of phone
Home
Cell
Work
Home
Primary Phone
Type of phone
Home
Cell
Work
Home
Secondary Phone
Child's date of birth
MM
/
DD
/
YYYY
Mother's Name
Mother's Email
Father's Name
Father's Email
Child lives with...
Parents
Mother
Father
Other:
If the child does not live with either parent, with whom do they live?
Relationship and phone number
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Vacation Bible School Registration
2024
Emergency contact information
Emergency Contact Name
Emergency Contact Phone
Emergency Contact Name
Emergency Contact Phone
Authorized pick-up person
To ensure the safety and security of each child, please give us (at least) one other person that you authorize to pick-up your child other than the child's parent(s). This person's name will be given to the teachers so that they know this person is authorized to pick-up your child from Faith Formation.
Authorized alternate pick-up person 1
Phone
Authorized alternate pick-up person 2
Phone
Please let us know if emergency contact information changes in anyway at any time.
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Vacation Bible School Registration
2024
This information is strictly confidential. It will be shared only with the Director of the program, Pastor, and your child's teacher (if pertinent). If there is any information you wish NOT to be shared with the teacher, please mark it below.
Are there any special concerns regarding your child?
Do you wish us to share this with the VBS staff?
yes
no
Are there any special needs for your child?
Do you wish us to share this with the VBS staff?
yes
no
Does your child have any allergies (food, pollen, other)
Do you wish us to share this with the VBS staff?
yes
no
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Vacation Bible School Registration
2024
What size T-shirt does your child wear? (specify child or adult size)
Parents/guardians of participants in the Our Lady of Hope/St. Luke Pastorate Vacation Bible School are advised that photographs or digital recordings of participants may be used in publications, websites, or other materials produced from time to time by our Pastorate or the Archdiocese of Baltimore. Participants will not be identified, however, without specific written consent. Parents/guardians who do not wish their child(ren) to be photographed or digitally recorded should so notify the Faith Formation Director, Lorraine Lupse at lorraine.lupse@archbalt.org. Please note that the Released Parties have no control over the use of photographs or digital recording taken by media that may be covering this event in which your child(ren) participate(s).
If you have a specific question, please write it in the below space.
I.
Please type your name as a signature on this registration form
Email address
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Vacation Bible School Registration
2024
I hereby give my express permission as parent/legal guardian for my Child, to participate in the Activities described above.In consideration of the opportunity for my Child to participate in the Activities, I knowingly and voluntarily on behalf of myself and my Child do hereby agree to forever RELEASE, HOLD HARMLESS, AND INDEMNIFY the Parish and the Archdiocese of Baltimore and each of its affiliate organizations, agents, governing board, departments, employees, officers, directors, volunteers, officials, representatives, agents, insurers, students, and other participants in the Activities (collectively, the “Archdiocese of Baltimore”) to the fullest extent permitted by law from any and all liability, claims, demands, and causes of action, including claims of negligence, arising out of or relating to any loss, damage, or injury (including illness or death) sustained in connection with or arising out of my child’s participation in the Activities, including any and all actions taken by the Parish or the Archdiocese of Baltimore pursuant to this Permission & Release Agreement.
By my signature below, I understand and acknowledge that my Child’s participation in the Activities may involve risk of minor or serious injury, including illness, permanent disability, death, and/or economic losses that may result from my Child’s actions or inactions, the actions or inactions of others, and the inherent risks of the Activities, including travel to and from the Activities. I further understand and acknowledge that the Activities may involve outdoor activities, including but not limited to exposure to sun and other elements, and changing environmental conditions due to inclement weather, lightning, wind, or temperature. I fully understand, appreciate, and hereby assume all such known and unknown dangers and risks related to my Child’s participation on behalf of my Child and I voluntarily elect to allow my Child to participate in the Activities. I affirm that I have had the opportunity to ask questions and have received all information about the Activities I feel necessary to assume the risks associated with the Activities.I understand that my Child’s participation in the Activities may require a minimum level of fitness for safe participation, and the Parish and the Archdiocese of Baltimore do not screen, medically or otherwise, individuals that participate in the Activities. I acknowledge that it is my sole responsibility to make certain that my Child is physically fit and healthy enough to participate in the Activities. I understand that my Child’s participation in the Activities may also result in a greater risk of exposure to or contraction of COVID-19. By allowing my Child to participate in the Activities, I confirm that my Child does not have an elevated temperature, has not tested positive for COVID-19, has not been in direct contact in the last 14 days with someone infected with COVID-19, and has not otherwise exhibited any symptoms related to COVID-19 as identified by the Centers for Disease Control and Prevention (CDC). In the case of a health emergency or need of urgent healthcare, after a reasonable effort has been made to contact me and any below-named emergency contact(s) (or if the urgency of the circumstances does not allow for an attempt to contact me or any below-named emergency contact(s)), I authorize and consent to any medical care deemed necessary for my Child’s health and safety during the Activities. If my child is not covered by hospitalization and medical insurance, I assume responsibility for the cost of hospitalization and medical care for my child.I hereby authorize the Archdiocese to take photographs and video recordings of my Child in connection with my Child’s participation in the Activities. I acknowledge and agree that photographs or videos of participants in the Activities, including my Child, may be used and published for educational and promotional purposes, including, for example, such purposes as publications, website or social media content, or other print or electronic materials produced from time to time by the Archdiocese. (Participants will not be identified by name, however, without specific written consent.) I agree that if I do not wish my Child to be photographed or videotaped, I will notify the above-named Administrator in writing.If any provision or provisions of this Release Agreement are determined to be invalid or unenforceable, either in whole or in part, the parties agree that the invalid or unenforceable provision will be modified to the minimum extent necessary to render it valid and enforceable, so that the rights and obligations of the parties to this Release Agreement are preserved to the fullest extent permitted by law.
I CERTIFY THAT I AM THE PARENT OR LEGAL GUARDIAN OF THE ABOVE-NAMED CHILD, HAVE READ THE FOREGOING PERMISSION & RELEASE AGREEMENT AND ANY ACCOMPANYING ATTACHMENTS, UNDERSTAND THAT I GIVE UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY, WILLINGLY, AND VOLUNTARILY.
Please type your name as a signature on this registration form to agree to the above release.
SUBMIT FORM
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