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ST. LAWRENCE 2020 VIRTUAL VACATION BIBLE SCHOOL REGISTRATION Zoom in for one lesson per week, suitable for Grades K-5 ZOOM DATES: Wednesdays July 8, 15, 22, 29, Aug 5 TIME: 10:00am – 10:40am COST: $10.00 per Family Family Last Name: Home Phone: Father’s Name: Mother’s Name: Address: Father’s Cell Phone: Mother’s Cell Phone: City/Zip: Father’s Work Phone: Mother’s Work Phone: Email (required to receive Zoom invitaon and pick-up details) Camper Name Grade (Fall 2020) OFFICE USE: Date received: _____________ Form Mailed ____ Form in Person ____ CRE staff initials: _____ Total Cost: _____________ Amount Received: _____________ Balance: ____________ Cash: _____________ Check No: ____________ MC/VISA._______________ CREDIT CARD PAYMENT: please print clearly ST. LAWRENCE CATHOLIC CHURCH CREDIT CARD AUTHORIZATION I, ___________________ authorize St. Lawrence Parish to charge my credit card. It will not exceed the amount shown. PURPOSE OF TRANSACTION: Virtual VBS July, 2020 AMOUNT $________________USD CREDIT CARD TYPE (circle one): VISA MASTERCARD DISCOVER CREDIT CARD # ________________________________ EXPIRATION DATE: _____________ CVV #: ________ NAME AS APPEARS ON CARD: ____________________________________________ ZIP CODE: ___________ SIGNATURE: ___________________________________________________________ DATE: ________________ At-Home Guide included. The first 70 families to register will receive one Take-Home kit per family. Pick-up Times will be confirmed aſter registraon is received. Payment due at me of registraon: Cash, Check, Credit Card Make checks PAYABLE TO: St. Lawrence CRE

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Page 1: ST. LAWRENE 2020 VIRTUAL VAATION ILE SHOOL VBS Registration Form 2020.pdf · OST: $10.00 per Family Family Last Name: Home Phone: Father’s Name: Mother’s Name: Address: Father’s

ST. LAWRENCE 2020

VIRTUAL VACATION BIBLE SCHOOL REGISTRATION

Zoom in for one lesson per week, suitable for Grades K-5 ZOOM DATES: Wednesdays

July 8, 15, 22, 29, Aug 5 TIME: 10:00am – 10:40am

COST: $10.00 per Family

Family Last Name: Home Phone: Father’s Name: Mother’s Name:

Address: Father’s Cell Phone: Mother’s Cell Phone:

City/Zip: Father’s Work Phone: Mother’s Work Phone:

Email (required to receive Zoom invitation and pick-up details)

Camper Name Grade

(Fall 2020)

OFFICE USE: Date received: _____________ Form Mailed ____ Form in Person ____ CRE staff initials: _____

Total Cost: _____________ Amount Received: _____________ Balance: ____________

Cash: _____________ Check No: ____________ MC/VISA._______________

CREDIT CARD PAYMENT: please print clearly

ST. LAWRENCE CATHOLIC CHURCH CREDIT CARD AUTHORIZATION

I, ___________________ authorize St. Lawrence Parish to charge my credit card. It will not exceed the amount shown.

PURPOSE OF TRANSACTION: Virtual VBS July, 2020

AMOUNT $________________USD CREDIT CARD TYPE (circle one): VISA MASTERCARD DISCOVER

CREDIT CARD # ________________________________ EXPIRATION DATE: _____________ CVV #: ________

NAME AS APPEARS ON CARD: ____________________________________________ ZIP CODE: ___________

SIGNATURE: ___________________________________________________________ DATE: ________________

At-Home Guide included. The first 70 families to register will receive one Take-Home kit per family.

Pick-up Times will be confirmed after registration is received.

Payment due at time of registration: Cash, Check, Credit Card

Make checks PAYABLE TO: St. Lawrence CRE

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