Vacation Bible School will be held from July 6 th through July 10 th and is open to children who will be starting kindergarten through grade 6 in the fall.
9:00 a.m. – 12:30 p.m.
Many teachers and aides are needed. Please complete the volunteer form below, call (860) 528-8288 x103 or email Mark Cerrato if you can help.
FAMILY NAME___________________________________________DAY PHONE________________________________
ADDRESS________________________________________________CELL PHONE_______________________________
Name of child/children Birth date Male/Female Grade in 2015/16
Are there any medical alerts of which we should be aware? i.e. food allergies, bee stings, etc.
_____________________________________________________________________________________________________
ADULT VOLUNTEER INFORMATION:
Name________________________________________________Home Phone_____________________________________
Cell Phone_______________________________________
Address______________________________________________________________________________________________
FEE: Registration fee: $35.00 (per child) Make checks payable to: St. Francis of Assisi Church. Total remittance:_________
PERMISSION FORM
Your child/children/guardianship is eligible to participate in Vacation Bible School at St. Margaret Mary Church. The church, rectory and church grounds will be used for activities. It will take place under the guidance and supervision of employees and volunteers from St. Margaret Mary Church and St. Francis of Assisi Church. A brief description of the program follows:
Lessons and activities including Bible stories, snack, sports & games, music and arts and crafts.
Location: St. Margaret Mary Church 80 Hayes Road, South Windsor, CT 06074
Phone: 860-644-2549 (St. Margaret Mary Church) or (860) 528-8288 (St. Francis of Assisi Church)
Email: mcerrato@stfrancisofassisisw.org
Cancellation information: In case of an emergency situation, please visit our website: www.stfrancisofassisisw.org
If you would like your child/children to participate in this event, please complete, sign & return the following statement of consent and release of liability. As parent or legal guardian, you remain fully responsible for any legal responsibility which may result from any personal actions taken by the named student/students.
I hereby consent to participation by my child/children____________________________________________________ in the event described above. I understand this event will take place on church grounds and my child/children will be under the supervision of the designated church employees on the stated dates. I further consent to the conditions stated above on participation in this event.
Parent’s name Address Emergency phone number
Emergency Contact Person & Phone (other than parent)
_______________________________________________________________________________________________________
I hereby authorize the adults in charge to take my child/children for medical treatment in the event of an emergency in which neither parent can be reached. I authorize any licensed physician or medical center to treat my child/children.
Signature Date