2024 – Vacation Bible School – Camper Registration

When: June 10th – 14th, 2024
Time: 9am – 12 noon, Monday – Thursday, 9am – 12:30pm on Friday. Cost: $65 for first camper and $50 for each additional camper

2024 - Vacation Bible School - Camper Registration

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Totally Catholic Scuba VBS - Diving into Friendship with God

Are you a registered member at Annunciation Catholic Church?*

Parent/Legal Guardian would you be willing to volunteer?

If you would like to volunteer, please complete the VBS Adult Volunteer Application on the VBS page. All volunteers must be fingerprinted through the Diocese of Orlando or have current fingerprints on file in order to volunteer.

Parent/Legal Guardian:*

First Last

Address*

Street Address City State ZIP Code

Phone*

Email*

Emergency Contact:

First Last

Emergency Contact Phone:

How many campers are you registering?*

$65 for the first VBS camper and $50 for each additional camper which covers snacks and all activities for the week.

Camper Information

Camper 1 - First and Last Name*

First Last

Camper 1 - Date of Birth:*

Camper 1 - What grade will your child be in upon returning to school in August 2024?*

Camper 1 - Where does your child attend school?*

Camper 1 - T-shirt size:*

Camper 1 - Please list any allergies - health conditions - special needs, if any:

Camper 2 Information

Camper 2 - First and Last Name

First Last

Camper 2 - Date of Birth:

Camper 2 - What grade will your child be in upon returning to school in August 2024?

Camper 2 - Where does your child attend school?

Camper 2 - T-shirt size:

Camper 2 - Please list any allergies - health conditions - special needs, if any:

Camper 3 Information

Camper 3 - First and Last Name

First Last

Camper 3 - Date of Birth:

Camper 3 - What grade will your child be in upon returning to school in August 2024?

Camper 3 - Where does your child attend school?

Camper 3 - T-shirt size:

Camper 3 - Please list any allergies - health conditions - special needs, if any:

Camper 4 Information

Camper 4 - First and Last Name

First Last

Camper 4 - Date of Birth:

Camper 4 - What grade will your child be in upon returning to school in August 2024?

Camper 4 - Where does your child attend school?

Camper 4 - T-shirt size:

Camper 4 - Please list any allergies - health conditions - special needs, if any:

Camper 5 Information

Camper 5 - First and Last Name

First Last

Camper 5 - Date of Birth:

Camper 5 - What grade will your child be in upon returning to school in August 2024?

Camper 5 - Where does your child attend school?

Camper 5 - T-shirt size:

Camper 5 - Please list any allergies - health conditions - special needs, if any:

Photography and Image Assignment, Waiver, and Release

As you review this photo release form, please do so with regard to any particular considerations of photos of your child being available on-line or in print. I, (signature below), for valuable consideration received, and for being allowed access to Diocesan property, activities, or events, expressly assign to Annunciation Catholic Church, and the Diocese of Orlando, and to all of their current, former, and future agents and related entities (collectively, “The DIOCESE”), all rights, title and interest in, and to, the use of my and my child/ward’s image or likeness, including, but not limited to all videotape recordings, photographs, or audio recordings of, or made by, me and/or my child/ward on Diocesan property, during a Diocesan-sponsored event, or for any other Diocesan purpose (“the Property”). The DIOCESE shall have, without my consent, the right to assign its rights in the Property, in whole or in part, to any entity, parish, or school within the Diocese of Orlando. I hereby irrevocably grant The DIOCESE perpetually and exclusively, the right to use and incorporate (alone or together with other materials), in whole or in part, the Property, in any Diocesan publication, news release, or for any other purpose. Further, I hereby authorize the reproduction, sale, lease, copyright, exhibition, broadcast and/or distribution of the Property without limitation for any purpose whatsoever, and I further waive all rights to any compensation for my and/or my child/ward’s appearance or participation in the Property. I understand and have been advised that photographs or videotape of participants may be used in publications, websites or other materials produced from time to time by the Office of Youth and Young Adult Ministry and/or the Diocese. Participants’ names would not be identified, however, without specific written consent. I further understand that The DIOCESE has no control over the use of photographs or film taken by media that may be covering the event in which my child(ren) participate(s). I hereby waive any claims against and release The DIOCESE, its current, former, and future religious, employees, volunteers, agents, and successors and assigns from and against any and all claims, demands, actions, causes of actions, suits, costs, expenses, liabilities, and damages whatsoever that I and/or my child/ward may have against the Diocese in connection with the Property or the use of the Property. This release shall not obligate The DIOCESE to use the Property or to use any of the rights granted hereunder, or to exhibit, distribute, or exploit the Property. I acknowledge that The DIOCESE cannot control all photographic access to its properties, and that my child/ward’s name may be printed with photos/images in various publications, including non-Diocesan publications.

Photography and Image Assignment, Waiver, and Release*

I GIVE permission

I DECLINE permission

I represent that I am eighteen years of age or older, and that I have read and understand the terms of this Assignment, Waiver, and Release.

Total

Credit Card

Card Details

Cardholder Name

Name

This field is for validation purposes and should be left unchanged.

2024 – Vacation Bible School – Camper Registration