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Participant Registration

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Saint Edward Catholic Church

Location

5303 River Road N

Keizer, OR 97303

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Contact Joyce Sprouse:

503-393-5323 ext 311

joyce.sprouse@sainteds.com

First, Tell Us About Yourself:

Parent Information

First Name

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Last Name

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Contact Phone 1

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Address 1

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Address 2

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City

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State/Province

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ZIP/Postal Code

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The parent/guardian registered is the first person contacted in an emergency. If that person does not answer, who would you like to be contacted next. Emergency Contact Person:

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Emergency Contact Relationship

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Emergency Contact Phone

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In which format do you prefer to receive VBS music?

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Alternate Pickup Name

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Alternate Pickup Phone

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Flocknote App is used to send daily updates, pictures and reminders for VBS. Click yes if you would like to receive them.

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Agreement to Participate at Saint Edwards Parish VBS Program

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I give my permission for my child/children to participate in the St. Edward Vacation Bible School which will be in effect from July 1st, 2026 until July 30, 2026 unless this permission is revoked by written notice to St. Edward Catholic Church. I do hereby release, hold harmless and covenant not to sue the Archdiocese of Portland, St. Edward Church, and all employees and leaders involved in this event. Nor shall said persons be held financially responsible for any injury, illness, or death incurred as a direct result of this activity. I recognize the risks involved, understand all terms and consent to these conditions. I remain fully liable for any legal responsibilities which may result from actions taken by my child. In the event of an emergency, and I cannot be contacted, I hereby authorize emergency treatment to be administered.

Use of Photography

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I hereby give St. Edward Catholic Church permission to use a photograph of the minor(s) (persons under the age of 18) listed on this form on its website. I understand that there will be no identifying information (e.g., name, age, etc.) about the minor(s) on this website. This permission for web page photographic display of a minor will be in effect annually from July 1st, 2026 until July 1st, 2027 unless this permission is revoked by written notice to St. Edward Catholic Church.

Home Church Affiliation

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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.

Tell Us About Your Participant

First Name

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Last Name

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Gender

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Date Of Birth

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Grade Leaving

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Please put the grade your child will be finishing/or just finished classes in. That is the grade they will be in for VBS. All Pre-K and kinder's must have completed a year in that grade. The schedule and events of the day are to much for younger children who have not taken classes yet.

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Allergies

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Comments

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