VBS Registration Form

St. Bernard's VBS Registration 2026

Child's First & Last Name

26-27 School Yr Grade

T-shirt Size

2nd Child

Grade

T-Shirt Size

3rd Child

Grade

T-Shirt Size

4th Child

Grade

T-Shirt Size

5th Child

Grade

T-Shirt Size

Allergies: Please list any allergies that your child/children may have

Parent First & Last Name

Parent Email Address

Parent Mobile

Emergency Contact Name

Emergency Contact Number

Additional adults that may pick up my child

Medical Insurance Company Name

Primary Subscriber's Name

Group Number

Individual Number

Registration Fee

St. Bernard's Parish Waiver

Electronic Signature, By selecting the "I agree to the terms and conditions" checkbox, you are signing this Agreement electronically and consent to be bound by its terms and conditions.

I agree to the terms and conditions

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St. Bernard's VBS Registration 2026