2020 Vacation Bible School Registration Home » Forms » 2020 Vacation Bible School Registration 2020 Vacation Bible School Registration Welcome to online registration for Rocky Railway VBS at St. Anne in Pleasant Prairie, Wisconsin! VBS meets at St. Anne Monday, July 27 - 31, 2020 from 8:30 am-12 pm. Our program is designed for kids in preschool through 5th grade (3-12 years). Thank you for participating in early online registration as there is a limit of 50 children and we fill up fast! NO REFUNDS are allowed. If you change your mind, please know that we’ll put your donation to good use here at St. Anne. Thank you for your understanding. I understand that St. Anne Catholic Church in Pleasant Prairie, WI requires that children be dropped off and picked up by parents INSIDE the building.* Yes; thank you for keeping my child/ren safe! I will drop my child/ren off inside. I will send another responsible adult inside to drop off/pick up my child/ren. How many children will you be registering for VBS July 27 - 31, 2020 from 8:30 am- 12 pm.*OneTwoThreeFourChild 1Child #1 Name* First Last Child #1 Birthdate* MM DD YYYY Grade Child #1 will enter in the fall of 2020*3K4KKindergarten1st Grade2nd Grade3rd Grade4th Grade5th GradePlease explain any allergies or other medical or learning concerns of which we should be made aware as we care for Child #1. Thank you! Remember that you are most welcome to stay with your child if that is what will help him/her learn best.Child 2Child #2 Name* First Last Child #2 Birthdate* MM DD YYYY Grade Child #2 will enter fall of 2020*3K4KKindergarten1st Grade2nd Grade3rd Grade4th Grade5th GradePlease explain any allergies or other medical or learning concerns of which we should be made aware as we care for Child #2. Thank you! Remember that you are most welcome to stay with your child if that is what will hep him/her learn best.Child 3Child #3 Name* First Last Child #3 Birthdate* MM DD YYYY Grade Child #3 will enter in the fall of 2020*3K4KKindergarten1st Grade2nd Grade3rd Grade4th Grade5th GradePlease explain any allergies or other medical or learning concerns of which we should be made aware as we care for Child #3. Thank you! Remember that you are most welcome to stay with your child if that is what will help him/her learn best.Child 4Child #4 Name* First Last Child #4 Birthdate* MM DD YYYY Grade Child #4 will enter in the fall of 2020*3K4KKindergarten1st Grade2nd Grade3rd Grade4th Grade5th GradePlease explain any allergies or other medical or learning concerns of which we should be made aware as we care for Child #4. Thank you! Remember that you are most welcome to stay with your child if that is what will help him/her learn best.Family InformationFather (or male legal guardian)* First Last Mother (or female legal guardian)* First Last Preferred email* Preferred Cell Phone*Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Volunteers are needed! I can come all 5 mornings and lead a particular age group to all their stations. I can come all 5 mornings and facilitate a particular activity assigned by the DRE. I'd like to help with snacks, science experiments or art projects once in a while during the week. I'd like to help with decorating and set-up for a couple hours on Sunday, July 26. I'm sorry that I cannot help at this time, but keep me in mind for future stewardship opportunities! All volunteers must receive Safeguarding Certification through the Archdiocese of Milwaukee. Please visit the Archdiocese's Safe Environment page to register for a class. https://www.archmil.org/offices/safeguarding.htmPhoto/Video Release Statement: I hereby grant permission to Saint Anne Parish, Pleasant Prairie, WI, to use my child’s photo/video for external publication on the internet at Saint Anne’s website or in any other official printed publications without further considerations, understanding that my child’s full name will not be published on the internet.* I agree with the above statement. I have reservations about allowing any photos of my child to be taken. Is your family officially registered as members of St. Anne parish?* Yes No I am not sure; please call me about this. PaymentVBS Child 1 Price: $25.00 VBS Child 2 Price: $25.00 VBS Child 3 Price: $25.00 VBS Child 4 Price: $25.00 Total (VBS) $0.00 Payment Option*Pay with credit cardPay with checkIf you pay with a check, stop in the parish office to make your payment. Write VBS in the memo. Your registration will not be final until we receive payment. Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name Questions? Please contact DRE Mary Mowry at (262) 942-8300 ext. 104 or email@example.com.