Theme image

Registracion del Participante

Go Back

St. Michael's

Location

100 South Oak Dr.

Lake Jackson, TX 77566

Map It

Contact Kristina Traynor:

979-299-3505

kristina@smlj.org

Primero, cuéntenos sobre usted:

Información de los Padres

Dear Parent / Guardian,

We are so excited that you are interested in sending your child(ren) to Vacation Bible School (VBS) at St. Michael the Archangel. We are looking forward to a GREAT week of Bible fun!

VBS will be held from 9 am - 12 noon for pre-kinder through 7th grade. Students in 8th - 12th grade may volunteer! Volunteers will fill out a volunteer registration form.

VBS will be held entirely on campus at St. Michael for grades pre-kinder through 4th. Grades 5th - 7th will start at St. Michael's and then travel off-site with chaperones to different venues each day. (SPCA, All-Star Pizza, Krazy Skates, Mulligan's Golf Center, and swimming at Lake Jackson Recreation Center.)

You will receive an email with more detailed information as soon as it is available.

Payment is due at time of registration.

$25.00 per child

Please use this link to pay for VBS:

https://www.paypal.com/ncp/payment/VXZSE383G8S5U

If you need financial assistance, please do not hesitate to ask! Simply contact us!!

If you have any questions, feel free to contact the church office and ask for Faith Formation personnel.

Office Phone: 979-299-3041

Kristy Traynor, VBS Coordinator - kristina@smlj.org

Sally Dodge, VBS Assistant Coordinator - sally@smlj.org

Nombre

This field is required.

Apellido

This field is required.

Correo Electrónico

This field is required.

Dirección 1

This field is required.

Ciudad

This field is required.

Estado/Provincia

This field is required.

ZIP/Código Postal

This field is required.

País

This field is required.

Teléfono de Contacto 1

This field is required.

Teléfono de Contacto 2

This field is required.

Mensaje de texto Teléfono

This field is required.

Nombre del Contacto de Emergencia

This field is required.

Relación del Contacto de Emergencia

This field is required.

Teléfono del Contacto de Emergencia

This field is required.

Nombre de recogida alternativo

This field is required.

Teléfono de recogida alternativa

This field is required.

Afiliación de la iglesia local

This field is required.

I hereby warrant to the best of my knowledge, my child is in good health, and I assume all responsibility for the health of my child.

This field is required.

Of the following statements pertaining to medical matters, sign only those in accordance with your wishes: Emergency Medical Treatment: In the event of an emergency, I hereby give permission to the staff of St. Michael the Archangel Catholic Church, to secure emergency medical treatment for my child / children named herein. I will be responsible for the costs incurred for the emergency care and / or transport of said children. I wished to be advised before further care is given by the hospital or doctor.

This field is required.

Family Doctor's name and Phone number

This field is required.

Do you carry medical insurance at this time?

This field is required.

Insurance Carrier, Insurance Policy Number, and Name of Insured

This field is required.

CONSENT AND LIABILITY WAIVER Important!! To be filled out by the Parent/Guardian for youth under 18 years of age. (If participant is 18 years of age or older, consent must be signed by the individual.) Read and Check the following box: I grant permission for my child to participate in St. Michael's Vacation Bible School to be held on June 8-12, 2026. This includes transportation via chaperone vehicles for grades 5th- 7th to Krazy Skate, SPCA, All-Star Pizza, Mulligan's Golf Center, and swimming at the Lake Jackson Rec. Center.

This field is required.

In consideration of my child's participation in this event, I agree on behalf of myself, my child / children named herein, and our heirs, successors, and assigns, to indemnify, hold harmless and defend the Archdiocese of Galveston-Houston, St. Michale the Archangel, its pastor, youth ministry coordinator, faith formation coordinator, other agents, employees or other representatives associated with the Faith Formation Program from any and all injuries, losses or claims arising out of my child's participation in the event

This field is required.

By typing my full name in the box below, I certify that all information contained herein is true and accurate to the best of my knowledge.

This field is required.

YOUTH PARTICIPANT (5th - 7th grades): By typing my full name in the box below, I agree to abide by any / all policies and rules established for this event / activity (see Code of Conduct). Should I not be able to maintain the guidelines and expectations of the adults and my peers, I understand that there will be consequences for their action, including being removed from the activity and being sent home at my parent's expense.

This field is required.

VIDEO / PHOTOGRAPHY CONSENT As parent / guardian, I understand that promotional pictures and videos (individual and group) will be taken during this event. I give permission for my son's / daughter's picture to be used for promotional materials (newsletter, web page, calendars, power pint, video etc.) in highlighting the event.

This field is required.

Click here for your FREE Friends With God Kids Activity Pack

By checking the box you will be emailed your Free Friends With God Kids Activity Pack.

You are also agreeing to receive emails about family resources from Lifetree. You can unsubscribe at any time. We value your privacy. Your information will not be shared with a third party. Lifetree is a division of Group Publishing, the creators of Group VBS and other faith-building resources. Click to learn more about Lifetree.

Cuéntanos sobre tu participante

Nombre

This field is required.

Apellido

This field is required.

Grado Entrando

This field is required.

Género

This field is required.

Fecha de nacimiento

This field is required.

Talla de Camisa

This field is required.

Alergias

This field is required.

Preocupaciones Médicas

This field is required.

Comentarios

This field is required.

MEDICAL CONDITIONS INFORMATION (Archdiocesan personnel will take reasonable care to see that the following information will be held in confidence.) My son / daughter has: Had an episode of the following or has been diagnosed:

Multiple selections are allowed.

This field is required.

Has had a medical surgery within the last six months?

This field is required.

Still under doctor's care?

This field is required.

Medically prescribed diet?

This field is required.

Physical limitations

This field is required.

Immunizations current and up to date

This field is required.

Do you grant permission for nonprescription (OTC) medication (such as Tylenol, Benadryl, throat lozenges, cough syrup, etc.)

This field is required.

MEDICATIONS My child will bring all such medications, well labeled, that are necessary. Names of medicaitons and concise directions for seeing that the child takes such medications, including dosage and frequency are as follows. My child is taking the following medication at the present time.

This field is required.

If you answered yes to any of the above, please let us know the diet or limitations.

This field is required.

— or —