2026 VBS Registration

St. Charles VBS Registration Form

June 8th-11th 2026 5:30pm-8:00pm
How many children are you registering?
Child 1: Grade Entering (26-27)
1. Child Name:

First NameLast Name
Birth Date

MonthDayYear
Date
Child 1: allergies/medical conditions
Child 2: Grade Entering (26-27)
2. Child Name:

First NameLast Name
Birth Date

MonthDayYear
Date
Child 2: allergies/medical conditions
Child 3: Grade Entering (26-27)
3. Child Name:

First NameLast Name
Birth Date

MonthDayYear
Date
Child 3: allergies/medical conditions
Child 4: Grade Entering (26-27)
4. Child Name:

First NameLast Name
Birth Date

MonthDayYear
Date
4. Child Name:

First NameLast Name
Child 4: allergies/medical conditions

Parent/Gardian:

First NameLast Name
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone:
Format: (000) 000-0000.
E-mail:
example@example.com
I would like to volunteer to help! (VBS cannot be a success without our amazing volunteers!)

Emergency Contact:

First NameLast Name
Emergency Contact Phone:
Format: (000) 000-0000.
Special Needs / Allergies (Indicate child's name)
Video/Photography Consent

As parent/guardian, I understand that promotional pictures and videos (individual and group) will be taken during diocesan events. I give permission for my son’s/daughter’s picture to be used for promotional materials (newsletter, web page, calendars, power point, video etc in highlighting diocesan events.
Signature (Parent/Guardian)

Parental Consent

IN CONSIDERATION OF THE EDUCATIONAL INSTRUCTION MY/OUR CHILDWILL RECEIVE I/WE PROMISE AS FOLLOWS:

I/WE HEREBY RELEASE, SAVE AND HOLD HARMLESS THE ABOVE NAMED PARISH/SCHOOL, DIOCESE OF BEAUMONT, MOST REVEREND DAVID L. TOUPS, BISHOP OF DIOCESE OF BEAUMONT, AND ANY AND ALL OF ITS EMPLOYEES FROM ANY AND ALL LIABILITY FOR ANY AND ALL HARM ARISING TO MY/ OUR SON/DAUGHTER AS A RESULT OF THIS TRIP AND/OR ACTIVITY, WHETHER CONDUCTED ON PREMISE OR NOT. I/WE HAVE BEEN APPRISED OF THE MODE OF TRANSPORATION TO BE USED IN THIS ACTIVITY/TRIP, IF ANY, AND I/WE UNDERSTAND AND ACCEPT THAT MODE OF TRANSPORTATION BEING USED. I/WE RELEASE, DISCHARGE AND COVENANT NOT TO SUE THE ABOVE NAMED PARISH/SCHOOL, DIOCESE OF BEAUMONT, AND MOST REVEREND DAVID L. TOUPS, BISHOP OF DIOCESE OF BEAUMONT, FOR ANY AND ALL CLAIMS AND LIABILITY ARISING OUT OF STRICT LIABILITY OR ORDINARY NEGLIGENCE OF THOSE ENTITIES OR ANY OTHER USER OF THE FACILITY OR ANY DRIVER WHICH CAUSES THE CHILD OF THE UNDERSIGNED INJURY, DEATH OR PROPERTY DAMAGES AND FURTHER AGREES TO HOLD THE PARISH/SCHOOL, DIOCESE OF BEAUMONT, AND THE MOST REVEREND DAVID L. TOUPS , BISHOP OF DIOCESE OF BEAUMONT, HARMLESS AND INDEMNIFY THE PARISH/SCHOOL, DIOCESE OF BEAUMONT, AND THE MOST REVEREND DAVID L. TOUPS, BISHOP OF DIOCESE OF BEAUMONT, FROM ANY CLAIM, JUDGEMENT OR EXPENSES THEY MAY INCUR BY PARTICIPATION OF THE DESCRIBED ACTIVITY. I/WE UNDERSTAND THE PARTICIPATION IN THE DESCRIBED ACTIVITY INVOLVES DANGER AND RISK OF INJURY. THE INHERENT DANGER IS UNDERSTOOD AND VOLUNTARILY ASSUMED. I/WE AUTHORIZE THE ABOVE NAMED PARISH OR SCHOOL AND/OR DIOCESE OF BEAUMONT AND ANY AND ALL ORGANIZERS OR SPONSORS TO PERFORM A PRE-BOARDING SEARCH OF OUR SON’S/DAUGHTER’S LUGGAGE AND/OR BACKPACK AND/OR PURSE FOR ILLEGAL SUBSTANCES OR ANY ITEM WHICH MAY ENDANGER THE HEALTH OR SAFETY OF THE ORGANIZATION, ITS PARTICIPANTS OR PERSONNEL. I/WE AUTHORIZE THE ABOVE NAMED PARISH OR SCHOOL AND/OR DIOCESE OF BEAUMONT AND ANY AND ALL ORGANIZERS OR SPONSORS TO PERFORM A STUDENT SEARCH OF OUR SON/DAUGHTER IF HE/SHE IS SUSPECTED TO BE IN POSSESSION OF ILLEGAL SUBSTANCES OR ANY ITEM WHICH MAY ENDANGER THE HEALTH OR SAFETY OF THE SCHOOL/PARISH, ITS STUDENTS, OR PERSONNEL.

I/WE HAVE READ THIS DOCUMENT. I/WE UNDERSTAND THAT IT IS A RELEASE OF ALL CLAIMS.

I/WE UNDERSTAND THAT I/WE AND OUR CHILDREN ASSUME ALL RISK INHERENT IN THIS ACTIVITY. I/WE VOLUNTARILY SIGN MY/OUR NAME(S) EVIDENCING MY/OUR ACCEPTANCE OF THESE PROVISIONS.
Parent's Name:

First NameLast Name
Date:

MonthDayYear
Date
Hour MinutesAM/PM Option
Signature (Parent/Guardian)
Payment Method
**When paying online, please check the number of children attending and fill out your card details before submitting.**

Please select the number of children attending

One Child

1 Child

$10.00

Two Children

2 Children

$20.00

Family of 3 or more

Family with 3 or more children

$30.00

Total

Credit Card

Should be Empty:

St. Charles VBS Registration Form

**When paying online, please check the number of children attending and fill out your card details before submitting.**

Please select the number of children attending

Credit Card

When paying online, please check the number of children attending and fill out your card details before submitting.