Parish of the Precious Blood

Ashland, Caribou, N. Caribou. Fort Fairfield, Limestone, mars Hill
Portage, Presque Isle, Stockholm, Washburn

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Registration Form

- Vacation Bible Camp
  - Vacation Bible Camp Information Page
  - Registration Form

Parish of the Precious Blood
Vacation Bible Camp
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- Parent/Guardian Information 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.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Emergency Phone REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Please complete a form for each child participating.
- Child 1 Full Name 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.
- Age REQUIRED Please fill out this field. Please enter an integer (number).
- Grade Entering in Fall 2026 REQUIRED Please fill out this field. Please enter an integer (number).
- My Child Has the Following FOOD or Other Known Allergies REQUIRED Please fill out this field. Please enter valid data.
- Any Special Concerns for Your Child REQUIRED Please fill out this field. Please enter valid data.
- Photo ID is required for pick-up unless otherwise arranged with staff
- Name - Relationship of Authorized Pick-Up Person REQUIRED Please fill out this field. Please enter valid data.
- Emergency Contact Name & Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Child 2 Full Name Please enter valid data.
- City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
- Age Please enter an integer (number).
- Grade Entering in Fall 2026 Please enter an integer (number).
- My Child Has the Following FOOD or other Known Allergies Please enter valid data.
- Any Special Concerns for your Child Please enter valid data.
- Emergency Contact Name & Number Maximum 20 characters Please enter a phone number.
- Name - Relationship of Authorized Pick-Up Person Please enter valid data.
- Child 3 Full Name Please enter valid data.
- City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
- Age Please enter an integer (number).
- Grade Entering in Fall 2026 Please enter an integer (number).
- My Child Has the Following FOOD or other Known Allergies Please enter valid data.
- Any Special Concerns for Your Child Please enter valid data.
- Name - Relationship of Authorized Pick-Up Person Please enter valid data.
- Emergency Contact Name & Number Maximum 20 characters Please enter a phone number.
- Release Forms REQUIRED I have/will complete the Medical Form prior to my child/children attending camp. Please fill out this field.
- I hereby grant permission for the child/children enrolled above to be photographed and/or videotaped during Faith Formation activities and events. I understand that my child may decline to be photographed and/or videotaped at any time. I further grant permission for the resulting photographs and/or videotaped footage to be edited, if necessary, and then published for the purpose of promoting Faith Formation programs at THE PARISH OF THE PRECIOUS BLOOD.
- I Agree Please select this field.
- I give permission for the Parish of the Precious Blood staff or volunteers to provide basic first aid for my child/children as listed above. In addition, I give my permission for the staff or volunteers to seek emergency medical treatment for my child/children listed above in the event I am not able to be reached.
- I Agree Please select this field.
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