Compassion Week Registration Form (VBS 2025)

Participant Information

Student's name (please use one form per child)

Student's date of birth

Last school grade completed by July 2025

T-shirt size

Anything we should know to make this experience great for your child? Ex: allergies, diet, struggles, and/or support and access needs

Parent/Guardian Information

Name of parent/guardian

Phone number

Address

This address will receive a confirmation email

Name of another parent/guardian

Phone number

Home Church (if applicable)

Emergency Contact Information

Name

Phone

Name

Phone

Dismissal Information

Name(s) of an additional person(s) who make pick up this student

Photography Release

Occasionally we photograph children and use the photo/video without identifying children in church publications. Please initial below:

Yes, you may use images of my child

No, you may not use images of my child

Registration Fee

Earlybirds - $25 per child/$40 per family through June 14th; $30 per child/$45 per family after June 14th. For parents or grandparents participating in the week, deduct $10. Financial assistance is available; please inquire.

I wish to pay now via credit card

I wish to pay by cash/check the first day of the week Yes

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Please fill out this form and click submit. Questions? Email Sydney at cyf@saint-matthews.org.

Compassion Week Registration Form (VBS 2025)

Description

Please Fix the Following