VBS Registration

Parent Information:

First Name REQUIRED Please fill out this field. Please enter valid data.

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

Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Email REQUIRED Please fill out this field. Please enter an email address.

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

Emergency Contact Person REQUIRED Please fill out this field. Please enter valid data.

Relationship to the student(s) REQUIRED Please fill out this field. Please enter valid data.

Emergency Contact Number REQUIRED Please fill out this field. Please enter a phone number.

Number of students registering for VBS REQUIRED Please fill out this field.
Student 1
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Grade Student is Entering - Fall 2025 REQUIRED Please fill out this field. Please enter valid data.
- Food allergies or other medical conditions REQUIRED Please fill out this field.
Student 2
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Grade Student is Entering - Fall 2025 REQUIRED Please fill out this field. Please enter valid data.
- Food allergies or other medical conditions REQUIRED Please fill out this field.
Student 3
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Grade Student is Entering - Fall 2025 REQUIRED Please fill out this field. Please enter valid data.
- Food allergies or other medical conditions REQUIRED Please fill out this field.
Student 4
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Grade Student is Entering - Fall 2025 REQUIRED Please fill out this field. Please enter valid data.
- Food allergies or other medical conditions REQUIRED Please fill out this field.
Student 5
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Grade Student is Entering - Fall 2025 REQUIRED Please fill out this field. Please enter valid data.
- Food allergies or other medical conditions REQUIRED Please fill out this field.
Student 6
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Grade Student is Entering - Fall 2025 REQUIRED Please fill out this field. Please enter valid data.
- Food allergies or other medical conditions REQUIRED Please fill out this field.

I give permission for photos taken during VBS to be used for church bulletin, social media & website. REQUIRED Yes No Please fill out this field.

The cost for the program is $70 per child, $175.00 maximum for 3 or more children. Financial assistance is available upon request, please contact Susan McGoldrick: 508-393-2413.

Please submit registration and payment by July 20, 2025.

Registration Fees REQUIRED 70.0 – 1 student 140.0 – 2 students 175.0 – 3 or more students Please fill out this field.

At Saint Rose of Lima, we do all we can to minimize the cost of VBS in order to make it accessible for all. If you would like to make an additional, optional, donation which will help us to cover card processing fees and other expenses, please select an optional donation below. Thank you for your support.

Optional Donation 3.0 – Thank You! 10.0 – Thank You! 25.0 – Thank You!

Other $ Please enter a positive decimal.

Volunteers are always needed and appreciated.
Would you like to join in the VBS fun and help our students by sharing your time and talents with the team? High school, Middle School and adults are welcome to join, no experience necessary.

I would like to Volunteer REQUIRED Yes No Please fill out this field.

Saint Rose of Lima

Northborough, MA

Vacation Bible School

July 28 - August 1 | 9 AM - 12 PM

REGISTRATION

Summer 2025

Contact Us