VBS 2023 REGISTRATION

Our Lady of Gudalupe Parish Faith Formation Office
40374 Fremont Blvd., Fremont CA

OUTDOOR VACATION BIBLE SCHOOL 2023 Registration
TK - 5th ~ August 7-11, 2023 ~ 8:30am-12pm
One form per child. Child must be 4-yrs of age by July 2023
REGISTRATION NOW TILL JULY 10, 2023
MAX. CAPACITY 60 KIDS

* Indicates required field

Student Name *

First

Last

Address *

Address2 *

City *

State *

ZIP *

Date of Birth *

School Attending in the Fall 2021 *

Grade *

Parents Information

Mother Name *

First

Last

Cell Number *

Address *

City/State/Zip *

Father Name *

First

Last

Cell Number *

Address *

City/State/Zip *

Valid Email: *

FEE INFORMATION *

T-SHIRT SIZE *

PAYMENT METHOD *

Tuition includes: Snacks & T-shirt
ALL PAYMENTS DUE BY JULY 10, 2023
YOU CAN CALL 510-651-4966 FAITH FORMATION TO PAY ONLINE (CLICK HERE) OR BY CREDIT CARD OR
MAIL THE CHECK TO FAITH FORMATION OFFICE, 40374 FREMONT BLVD., FREMONT CA

Health Authorization and Release Form

Name & Cell No - Authorized to pick up child(ren) *

Name & Cell No. - IN CASE OF EMERGENCY, NOTIFY PERSON OTHER THAN PARENT/GUARDIAN: *

HEALTH AND MEDICAL INFORMATION

FAMILY PHYSICIAN: *

ADDRESS *

PHONE *

MEDICAL PLAN: *

PLAN NUMBER *

Do you authorize the Director of Faith Formation or their authorized representative to authorize medical treatment for your child in an emergency, as considered necessary by the attending physician?

Choose One *

Yes NO

State any reason why you do not want medical care given to your child in an emergency: *

List all conditions (such as allergies, seizures) for which your child requires ongoing medication and state the type & frequency of medication given: *

List any physical restriction or restriction for any activity on the basis of medical condition: *

State the date of your child's last physical examination: *

Has your child had difficulty with the following: *

Other concern not in the list: *

Allergy or reaction to any Medication or Food? *

Yes No

If yes: please list the medication or food *

I GIVEN CONSENT FOR ANY PICTURES TAKEN OF MY CHILD'S DURING VBS TO BE PUBLISHED FOR OUR LADY OF GUADALUPE PARISH FAITH FORMATION PURPOSE ONLY.

PARENT/GUARDIAN NAME TO CONSENT *

DATE *

Submit Registration

Our Lady of Gudalupe Parish Faith Formation Office
40374 Fremont Blvd., Fremont CA

OUTDOOR VACATION BIBLE SCHOOL 2023 Registration
TK - 5th ~ August 7-11, 2023 ~ 8:30am-12pm
One form per child. Child must be 4-yrs of age by July 2023
REGISTRATION NOW TILL JULY 10, 2023
MAX. CAPACITY 60 KIDS

Parents Information

Tuition includes: Snacks & T-shirt
ALL PAYMENTS DUE BY JULY 10, 2023
YOU CAN CALL 510-651-4966 FAITH FORMATION TO PAY ONLINE (CLICK HERE) OR BY CREDIT CARD OR
MAIL THE CHECK TO FAITH FORMATION OFFICE, 40374 FREMONT BLVD., FREMONT CA

Health Authorization and Release Form

HEALTH AND MEDICAL INFORMATION

Location

Contact us

Mass Schedule

Click here for Mass Schedule

Click below for Fillable
Parish Registration Form

Our Lady of Gudalupe Parish Faith Formation Office40374 Fremont Blvd., Fremont CA

OUTDOOR VACATION BIBLE SCHOOL 2023 RegistrationTK - 5th ~ August 7-11, 2023 ~ 8:30am-12pmOne form per child. Child must be 4-yrs of age by July 2023REGISTRATION NOW TILL JULY 10, 2023MAX. CAPACITY 60 KIDS

Parents Information

Tuition includes: Snacks & T-shirt ALL PAYMENTS DUE BY JULY 10, 2023YOU CAN CALL 510-651-4966 FAITH FORMATION TO PAY ONLINE (CLICK HERE) OR BY CREDIT CARD ORMAIL THE CHECK TO FAITH FORMATION OFFICE, 40374 FREMONT BLVD., FREMONT CA

Health Authorization and Release Form

HEALTH AND MEDICAL INFORMATION

Location

Contact us

Mass Schedule

Click here for Mass Schedule

Click below for Fillable Parish ​Registration Form

Our Lady of Gudalupe Parish Faith Formation Office
40374 Fremont Blvd., Fremont CA

OUTDOOR VACATION BIBLE SCHOOL 2023 Registration
TK - 5th ~ August 7-11, 2023 ~ 8:30am-12pm
One form per child. Child must be 4-yrs of age by July 2023
REGISTRATION NOW TILL JULY 10, 2023
MAX. CAPACITY 60 KIDS

Tuition includes: Snacks & T-shirt
ALL PAYMENTS DUE BY JULY 10, 2023
YOU CAN CALL 510-651-4966 FAITH FORMATION TO PAY ONLINE (CLICK HERE) OR BY CREDIT CARD OR
MAIL THE CHECK TO FAITH FORMATION OFFICE, 40374 FREMONT BLVD., FREMONT CA

Click below for Fillable
Parish Registration Form