Holy Cross Catholic Church

Name *

First Name

Last Name

Grade in school (Fall 2024) *

Entering Preschool

Entering Kindergarten

Entering 1st

Entering 2nd

Entering 3rd

Entering 4th

Entering 5th

Entering 6th

Phone *

(###)

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Phone *

(###)

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MEDICAL RELEASE: In an emergency, Holy Cross Parish, and its designated representative(s), will seek emergency medical treatment for my child/youth. I agree to hold harmless Holy Cross Parish and said representative(s), from any accident or illness requiring such treatment, and from the results of any such treatment. *

Yes

No

PHOTO RELEASE: I/We, the parent(s)/guardian of the child/youth authorize and give full consent, without limitation or reservation, to Holy Cross Parish, to publish any photograph or video in which the above-named student appears while participating in any program associated with Holy Cross Parish. There will be no compensation for use of any photograph or video at the time of publication or in the future. *

Yes

No

Payment Method *

We are volunteering and the fee is waived

We will pay online

Credit card (in person)

Check (made to "Holy Cross," with "VBS" in memo line)

Cash (in an envelope with family name and "VBS fees")

Contact me about financial aid