Vacation Bible School - July 13-July 15, 2026 - St. Joseph Church (Lebanon)

Number of Children Attending REQUIRED Please fill out this field.

First & Last Name of all children attending REQUIRED Please fill out this field. Please enter valid data.

Are the attendees coming for the entirety of VBS? (Mon-Thr) REQUIRED Yes No Please fill out this field.

If you answered 'No' above, please specify for how many days the children will attend VBS. Please enter valid data.

Please list Applicable Disabilities or Food Allergies REQUIRED Please fill out this field.

Legal Parent/Guardian First and Last Name REQUIRED Please fill out this field. Please enter valid data.

Legal Parent/Guardian Email REQUIRED Please fill out this field. Please enter valid data.

Emergency Phone Number REQUIRED Please fill out this field. Please enter valid data.

Are you registered as a parishioner at St. Joseph? REQUIRED Yes No Please fill out this field.

Liability Waiver:

I, as parents/guardians of the minor(s) registered, hereby consent, and agree to hold harmless, St. Joseph Roman Catholic Church and/or the Roman Catholic Diocese of Lafayette-in-Indiana, Inc., and any and all employees or volunteers thereof, for any accident, injury or occurrence arising out of, or in connection with our child's/children's regular formation activity at the parish. I give my permission for my son/daughter, in case of an emergency, to be taken to a physician or hospital by either a parent in charge or by parish personnel. I understand that every effort will be made to contact me. If I cannot be reached, I hereby give permission to the physician selected by the parish member in charge or adult chaperon(s) to secure proper treatment for my son/daughter.

Do you agree or disagree to the waiver above? REQUIRED I agree I disagree Please fill out this field.

Media Waiver:

At various times during the year, school, pastorate representatives, the Diocese of Lafayette-in-Indiana, partners/vendors of the diocese and a variety of media outlets request permission to film, video tape and photograph activities and events at pastorate events. They subsequently publish, broadcast or use these materials, which often include images and depictions of students/minors, as well as their work products. I CONSENT and allow my child to be filmed, videotaped and/or photographed for use by my school/pastorate/Diocese of Lafayette in-Indiana and its partners and the media. also allow my child's work product to be featured by the diocese.

Do you agree or disagree to the waiver above? REQUIRED I agree I disagree Please fill out this field.

Communication Waiver:

I understand that Flocknotes are used to communicate with family and agree to be added to the appropriate lists for my child(ren). Ultimately, I am responsible for my children's communications, but I understand that these tools are used for the means of effective communication.

Do you agree or disagree to the waiver above? REQUIRED I agree I disagree Please fill out this field.

St. Joseph Roman Catholic Church

A Pastorate of the Diocese of Lafayette-in-Indiana

Vacation Bible School - July 13-July 15, 2026

VBS Registration 2026