• Vacation Bible School 

  July 18th-22nd

  5:30pm - 8:00 pm

  Rising Pre-k (3+ and fully potty trained) through rising 6th Grade

  Saint Matthew Catholic Church (ASSEMBLY HALL) 3314 Sandra Lane Virginia Beach, VA 23464

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  $35 per child, $65 per family (siblings only)

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  • Family Name REQUIRED Please fill out this field. Please enter valid data.
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  • If not from St. Matthew, how did you hear about our VBS Program?
  • Child #1
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      Last Name REQUIRED Please fill out this field. Please enter valid data.
    • Date of Birth REQUIRED Please fill out this field. Please enter valid data.
    • Grade in the fall REQUIRED

      Fall 2015

      (Select One) Pre-K 3 Pre-K 4 Kindergarten 1st 2nd 3rd 4th 5th 6th Please fill out this field.
    • T-Shirt Size REQUIRED (Select One) Extra Small Small Medium Large Adult Small Please fill out this field.
    • Allergies
  • Child #2
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    • Grade in the fall

      Fall 2015

      None Pre-K 3 Pre-K 4 Kindergarten 1st 2nd 3rd 4th 5th 6th
    • T-Shirt Size None Extra Small Small Medium Large Adult Small
    • Allergies
  • Child #3
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    • Date of Birth Please enter valid data.
    • Grade in the fall

      Fall 2015

      None Pre-K 3 Pre-K 4 Kindergarten 1st 2nd 3rd 4th 5th 6th
    • T-Shirt Size None Extra Small Small Medium Large Adult Small
    • Allergies
  • Child #4
    • First Name Please enter valid data.

      Last Name Please enter valid data.
    • Date of Birth Please enter valid data.
    • Grade in the fall

      Fall 2015

      None Pre-K 3 Pre-K 4 Kindergarten 1st 2nd 3rd 4th 5th 6th
    • T-Shirt Size None Extra Small Small Medium Large Adult Small
    • Allergies
  • Parent/Guardian 1
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  • Parent/Guardian 2
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  • Emergency Contact (non parent/guardian)
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    • Relation to child(ren) REQUIRED Please fill out this field. Please enter valid data.
  • List names of anyone allowed to pick up your child(ren)

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