All children entering 6th grade in the fall will be apprentice crew leaders and still need to pay the registration fee. Children entering 7th grade or above are eligible to volunteer and do not pay the registration fee, but must complete a Volunteer Form.

Family Last Name *

Address *

City *

Zip *

Home Phone *

(###)

###

####

Primary Email *

Alternate Email

Mother's Name

Mother's Cell

(###)

###

####

Mother's Work Phone

(###)

###

####

Father's Name

Father's Cell

(###)

###

####

Father's Work Phone

(###)

###

####

Custodial care is with *

Student Last Name *

Student First Name *

Male

Female

School Name 2024-2025 *

Grade Level 2024-2025 *

Age as of June 1st

T-Shirt Size: *

Youth 2/4

Youth 6/8

Youth 10/12

Youth 14/16

Adult Small

I plan to order the VBS Music (You can purchase either a CD or a Download Code on the VBS payment page) *

Yes

Special Circumstances

Please indicate below any special circumstances regarding your child or family. If allergy is potentially life threatening, please meet with the Director to discuss. THIS INFORMATION WILL BE TREATED AS CONFIDENTIAL

Does your child have a medical condition, food allergies, or behavioral problems? *

Yes

If yes, please explain

Does your child take any medications? *

Yes

If yes, please explain:

Emergency Contact #1 - Name | Phone | Relationship *

Name | Phone | Relationship

Emergency Contact #2 - Name | Phone | Relationship

Name | Phone | Relationship

Physician - Name | Phone *

Name | Phone

In the event that a parent/guardian cannot be reached, I hereby give my consent to St. Charles Borromeo Catholic Church to contact the physician listed above, and, if necessary, transport my child to a clinic or hospital *

I agree

I do not agree

I hereby give St. Charles Borromeo Catholic Church permission to publish pictures of my child on the parish website, social media, and/or parish publications. (Please note: No names will be included with pictures).

I agree

I do not agree

***Registration is not complete until you have submitted a payment online by clicking the button below. ***

Thank you for Registering for Vacation Bible Schoo!!

***Please Remember that Registration is not complete until you have submitted a payment either at the parish office or online by clicking the button below. ***

VBS Payment

St. Charles Borromeo Catholic Church, 7790 South 192nd Street, Gretna, NE, 68028, United States402-916-9730

St. Charles Borromeo Catholic Church
Office Hours: Monday - Friday 8:30 - 4PM
*Memorial Day - Labor Day the office closes at 12 noon on Fridays
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7790 South 192nd St. Gretna, NE 68028 | 402.916.9730 | Contact Us

*Links to other sites are provided on this site. These are for informational purposes only and are not necessarily sponsored by the parish.