The Basilica of Saint John | Vacation Bible School--“Cor Jesu Rex” – Prayer

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

Parent(s) First Name(s) REQUIRED Please fill out this field. Please enter valid data.

Parishioner/Visitor? REQUIRED Registered Parishioner (accepted before visitor) Visitor to the Basilica Please fill out this field.

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

Texting OK? REQUIRED Yes No Please fill out this field.

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Number Children REQUIRED Please fill out this field.
Child 1
- Full Name REQUIRED Please fill out this field. Please enter valid data.
- Age Please enter valid data.
- T-Shirt Size REQUIRED Please fill out this field. Please enter valid data.
- Shirt Fee: $15 per child OR Wear your Basilica t-shirt you already have on Day 2
Child 2
- Full Name REQUIRED Please fill out this field. Please enter valid data.
- Age Please enter valid data.
- T-Shirt Size REQUIRED Please fill out this field. Please enter valid data.
- Shirt Fee: $15 per child OR Wear your Basilica t-shirt you already have on Day 2
Child 3
- Full Name REQUIRED Please fill out this field. Please enter valid data.
- Age Please enter valid data.
- T-Shirt Size REQUIRED Please fill out this field. Please enter valid data.
- Shirt Fee: $15 per child OR Wear your Basilica t-shirt you already have on Day 2
Child 4
- Full Name REQUIRED Please fill out this field. Please enter valid data.
- Age Please enter valid data.
- T-Shirt Size REQUIRED Please fill out this field. Please enter valid data.
- Shirt Fee: $15 per child OR Wear your Basilica t-shirt you already have on Day 2
Child 5
- Full Name REQUIRED Please fill out this field. Please enter valid data.
- Age Please enter valid data.
- T-Shirt Size REQUIRED Please fill out this field. Please enter valid data.
- Shirt Fee: $15 per child OR Wear your Basilica t-shirt you already have on Day 2
Child 6
- Full Name REQUIRED Please fill out this field. Please enter valid data.
- Age Please enter valid data.
- T-Shirt Size REQUIRED Please fill out this field. Please enter valid data.
- Shirt Fee: $15 per child OR Wear your Basilica t-shirt you already have on Day 2
Child 7
- Full Name REQUIRED Please fill out this field. Please enter valid data.
- Age Please enter valid data.
- T-Shirt Size REQUIRED Please fill out this field. Please enter valid data.
- Shirt Fee: $15 per child OR Wear your Basilica t-shirt you already have on Day 2
Child 8
- Full Name REQUIRED Please fill out this field. Please enter valid data.
- Age Please enter valid data.
- T-Shirt Size REQUIRED Please fill out this field. Please enter valid data.
- Shirt Fee: $15 per child OR Wear your Basilica t-shirt you already have on Day 2
Child 9
- Full Name REQUIRED Please fill out this field. Please enter valid data.
- Age Please enter valid data.
- T-Shirt Size REQUIRED Please fill out this field. Please enter valid data.
- Shirt Fee: $15 per child OR Wear your Basilica t-shirt you already have on Day 2
Child 10
- Full Name REQUIRED Please fill out this field. Please enter valid data.
- Age Please enter valid data.
- T-Shirt Size REQUIRED Please fill out this field. Please enter valid data.
- Shirt Fee: $15 per child OR Wear your Basilica t-shirt you already have on Day 2

Volunteer Teen Volunteer (put name/age/shirt size above) Adult Volunteer (add shirt size below)

Adult Volunteer Shirt Size Please enter valid data.

By checking this box I give my permission to have my child(ren) attend the Cor Jesu Rex Vacation Bible School at the Basilica of St. John from June 6-10, 2022 from 9am to 2pm. I release the Basilica of St. John, VBS volunteers, Staff, and diocesan officials of any and all responsibility in the case of accident or injury to my child. I understand that I will be notified if there is any problem, sickness, or accident related to my child.

I Agree Please select this field.

(Initial above) I give my permission to have my child(ren) attend the Cor Jesu Rex Vacation Bible School at the Basilica of St. John from June 6-10, 2022 from 9am to 2pm. I release the Basilica of St. John, VBS volunteers, Staff, and diocesan officials of any and all responsibility in the case of accident or injury to my child. I understand that I will be notified if there is any problem, sickness, or accident related to my child.

Permission for photos to be taken of my child that may be used on a display photo board or on the Basilica of St John website REQUIRED I GIVE permission I DO NOT GIVE permission Please fill out this field.

From the School Sisters of Christ the King:

MEDIA RELEASE PERMISSION FORM- We’d love to share pictures from the week with your consent
I hereby agree and give my permission for the School Sisters of Christ the King and/or the Diocese of Lincoln (the “Community”) to record, film, photograph, audiotape or videotape my child’s name, image, likeness, spoken words, student work, performance and movement, in any form (hereinafter collectively referred to as “Works”), and to display, publish, distribute or exhibit these Works or any part thereof for the purpose of and in connection with any material that may be created by the Community including, without limitation, for posting on the world wide web (WWW) and/or for broadcasting on television.
By entering into this informed consent and release and granting the permission as stated herein, I also am releasing the School Sisters of Christ the King and the Diocese and their respective officers, directors, agents and/or employees from and against any and all liability, loss, damage, costs, claims and/or causes of action arising out of or related to my son/daughter’s participation in any media events, including, without limitation, television broadcasts, promotional materials or website projects. I have read this Informed Consent and Release and understand its terms. I sign it voluntarily and with full knowledge of its significance.

By clicking this box I agree to the media release permission form Please select this field.

Signature (Enter Name) REQUIRED Please fill out this field. Please enter valid data.

Date REQUIRED Please fill out this field. Please enter a date.

What to Bring and What to Wear:

Bring your own sack lunch each day. Bring pkg of Juice Boxes and box of wrapped snacks (bars, cookies, granola bars) to be used for Snacks. Wear play clothes that are nice. We will attend Noon Mass each day. Wear tennis shoes and not flip-flop sandals.