VBS Child Registration

Number of Children
3 remaining
Please fill out this field.
Child 1
- Fee per child45.0
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Birthdate MM/DD/YYYY REQUIRED Please fill out this field. Please enter a date.
- Incoming grade (Fall 2025) REQUIRED Please fill out this field.
- School Attending Please enter valid data.
- List any known medical conditions, food allergies, etc. REQUIRED Please fill out this field.
Child 2
- Fee per child45.0
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Birthdate MM/DD/YYYY REQUIRED Please fill out this field. Please enter a date.
- Incoming grade (Fall 2025) REQUIRED Please fill out this field.
- School Attending Please enter valid data.
- List any known medical conditions, food allergies, etc. REQUIRED Please fill out this field.
Child 3
- Fee per child45.0
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Birthdate MM/DD/YYYY REQUIRED Please fill out this field. Please enter a date.
- Incoming grade (Fall 2025) REQUIRED Please fill out this field.
- School Attending Please enter valid data.
- List any known medical conditions, food allergies, etc. REQUIRED Please fill out this field.
Child 4
- Fee per child45.0
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Birthdate MM/DD/YYYY REQUIRED Please fill out this field. Please enter a date.
- Incoming grade (Fall 2025) REQUIRED Please fill out this field.
- School Attending Please enter valid data.
- List any known medical conditions, food allergies, etc. REQUIRED Please fill out this field.
Child 5
- Fee per child45.0
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Birthdate MM/DD/YYYY REQUIRED Please fill out this field. Please enter a date.
- Incoming grade (Fall 2025) REQUIRED Please fill out this field.
- School Attending Please enter valid data.
- List any known medical conditions, food allergies, etc. REQUIRED Please fill out this field.

Any days you will not attend? Or additional comments

Parent/Guardian Information

for above children

Parent/Guardian #1, primary contact

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Email REQUIRED Please fill out this field. Please enter an email address.

Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Relationship to child(ren) Please enter valid data.

Registered Parish Please enter valid data.

Parent/Guardian #2
(Secondary contact if above parent/guardian cannot be reached)

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Email Please enter an email address.

Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Relationship to child(ren) Please enter valid data.

Media Release
Applies to above registered children

I grant permission to use my or my child/ren’s image, name, recording, or academic work in communications that include, but are not limited to,

Archdiocese of St. Louis: archstl.org, St. Louis Review, Catholic St. Louis magazine, archdiocesan social media, and any publication(s) by agencies administered by the Archdiocese of St. Louis;
Parish/School: parish bulletin, school newsletter, student newspaper, admission videos, parish/school website and social media.
Sponsoring organizations: websites, videos, and publications created by independent foundations and corporations that support Catholic education but are not legally connected to the Archdiocese of St. Louis, including, but not limited to,
Today and Tomorrow Educational Foundation, Roman Catholic Foundation of Eastern Missouri, Access Academies, English Tutoring Project, and United Way.
Secular media outlets: secular media communications including, but not limited to, print, radio, TV and internet (Examples: St. Louis Post‐Dispatch, KMOX radio, and KSDK‐TV).

Archdiocese of St. Louis REQUIRED Yes No Please fill out this field.

School/Parish REQUIRED Yes No Please fill out this field.

Sponsoring Organizations REQUIRED Yes No Please fill out this field.

Secular Organizations REQUIRED Yes No Please fill out this field.

Fees and Payment

Music Access (Download code)

Optional donation to support scholarships $ Please enter a positive decimal.

Discount Requested? REQUIRED No discount VBS Volunteer (parent) Please fill out this field.

If your family is experiencing financial need and would like to request a scholarship, please submit your registration by clicking the "Pay Later" button and then contact Valerie Stringer at [email protected] to describe your situation and request financial assistance.

Note: Registration is not complete until a scholarship has been applied or payment received. Thank you.

Assumption-Mattese

VBS Child Registration

Register here for VBS Participants

VBS Participant Registration (age 4-4th grade)