VBS Registration 2025

June 9th - 12th 9:00am to Noon | ROAD TRIP
VACATION BIBLE SCHOOL

Monday-Thursday

St. Julian of Norwich Episcopal Church
3823 Brushy Creek Road
3-years-old through incoming 5th graders

Welcome to St. Julian's VBS 2025!
Road Trip: On the Go with God!

Please fill out a registration form for each child attending VBS. There will be an option for submitting one payment for multiple children at the end of the form.

Please feel free to include any questions or additional information below. Additionally our Children's Ministry Coordinator, Jennifer Cowles, can be reached at jcowles@stjuliansaustin.org.

We can't wait to see everyone this summer!

Parent/Guardian Name

Parent/Guardian Phone Number:

Parent/Guardian Email Address

This address will receive a confirmation email

Emergency Contact Name and Phone Number (other than parent)

Child's Name

Child's Date of Birth

Child's Age as of June 1st

Child's grade in school for the 2025-26 school year

My Child has Food Allergies

Please select one option.

Yes No

Details regarding Food Allergies:

My Child has other Allergies (including medications)

Please select one option.

Yes No

Details regarding other Allergies:

My Child has Special Medical Needs or other conditions?

Please select one option.

Yes No

Details regarding additional needs:

Names of other adult(s) who may pick my child up from VBS

Questions or other information you'd like to share.

Would you like to request Financial Assistance?

Please select one option.

Yes No

If you are paying for multiple children choose the total number of children on your first registration and pay at that time.
When you register each additional child choose "Already paid on previous registration".

Payment Options

$50.00 One Child $100 Two Children $150 Three Children $200 Four Children I am requesting Financial Assistance (0.00) I am a registered volunteer (0.00) Already paid on previous registration (0.00)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

June 9th - 12th 9:00am to Noon

ROAD TRIP
VACATION BIBLE SCHOOL

Monday-Thursday

St. Julian of Norwich Episcopal Church
3823 Brushy Creek Road
3-years-old through incoming 5th graders

VBS Registration 2025

Description

Please Fix the Following