Catholic Kids Camp (VBS)

Parent Information

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Email REQUIRED Please fill out this field. Please enter an email address.
Address REQUIRED Please fill out this field. Please enter valid data.
City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.
Are you available to volunteer during the week? REQUIRED Yes No Please fill out this field.

Number of Children REQUIRED Please fill out this field.
Child 1
- Registration Fee (after May 1)20.0
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Grade entering in Fall 2025 REQUIRED Please fill out this field.
- T-Shirt Size (Free for children registering by May 1) REQUIRED Please fill out this field.
- Please indicate any food allergies this child may have:
- My child has permission to jump in an inflatable Jump House REQUIRED Yes No Please fill out this field.
Child 2
- Registration Fee (after May 1)20.0
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Grade entering in Fall 2025 REQUIRED Please fill out this field.
- T-Shirt Size (Free for children registering by May 1) REQUIRED Please fill out this field.
- Please indicate any food allergies this child may have:
- My child has permission to jump in an inflatable Jump House REQUIRED Yes No Please fill out this field.
Child 3
- Registration Fee (after May 1)20.0
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Grade entering in Fall 2025 REQUIRED Please fill out this field.
- T-Shirt Size (Free for children registering by May 1) REQUIRED Please fill out this field.
- Please indicate any food allergies this child may have:
- My child has permission to jump in an inflatable Jump House REQUIRED Yes No Please fill out this field.
Child 4
- Registration Fee (after May 1)20.0
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Grade entering in Fall 2025 REQUIRED Please fill out this field.
- T-Shirt Size (Free for children registering by May 1) REQUIRED Please fill out this field.
- Please indicate any food allergies this child may have:
- My child has permission to jump in an inflatable Jump House REQUIRED Yes No Please fill out this field.

Medical Liability and Release Statement

I understand that reasonable precautions will be taken to safeguard the health and well being of the participants in this Catholic Kids Camp (CKC) and that I will be notified as soon as possible in the event of an emergency. In the case of sickness or an accident, I authorize and consent the CKC Team, or other associated volunteers of the CKC program to obtain medical care from a licensed physician, hospital, or medical clinic for my son/daughter in the event that myself or other legal guardian(s) cannot be reached. I hereby do release and forever discharge this Diocese, and Parish from all manners of actions, claims which I or the child named above shall or may have for any reason, arising during my child’s attendance of the CKC.
I agree to the above statement. Please select this field.
Today's Date REQUIRED Please fill out this field. Please enter a date.
Physician's Name REQUIRED Please fill out this field. Please enter valid data.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.

Promotional Advertisement and Media Releases

Permission for my child's name and/or photograph to be used as in the capacity of Youth & Family Ministry advertising and/or media releases REQUIRED Yes, I give my permission to use my child's name or photograph No, I do not give my permission for my child's name to be used or photographed Please fill out this field.

Your child's regsitration fee is FREE!
A $20 late fee will be applied if registering after May 1.

Families do have the option to purchase the VBS Music CD and St. Patrick Storybook. Please indicate the items that you would like to purchase.

Items for Purchase

6.0 – Music CD

6.0 – St. Joseph of Cupertino Storybook

Catholic Kids Camp (VBS)

Contact Us

Catholic Kids Camp Registration