We are so excited to invite you all to this year's Vacation Bible School! This year, our theme is "Rainforest Falls: Exploring the Nature of God" where we embark on a wild, creature-filled Amazon adventure where kids learn that Jesus is Creator, All-knowing, our Refuge, Love, and Forever. Rainforest Falls help the kids explore what it means to be rooted in relationship with God, their creator, a safe place in life’s storms.

*Please fill out one form per child. Ages 3+ (must be potty trained to attend)

The program will run from July 13th - July 17th, 8:45 am - 1:30 pm. Our program will offer music, crafts, stories, snack, and special events each day.

Registration Fee: $75 per child 

Multiple Registrations in the same household: Registration fee for first two children are $75 each + $40 for each additional child after the first two. 

Payment Totals for Multiple Children

1 child: $75

2 children: $150

3 children: $190

4 children: $230

5 children: $270

6 children: $310

Any questions can be emailed to [email protected]. Please allow up to 2-3 business days for a response.

Student Information

Student First Name*

Answer required for "Student First Name"

Student Last Name*

Answer required for "Student Last Name"

Grade in the Fall*

Answer required for "Grade in the Fall"

Date of Birth*

Answer required for "Date of Birth"

Child's T-Shirt Size*

Answer required for "Child's T-Shirt Size"

Youth XS

Youth S

Youth M

Youth L

Youth XL/Adult XS

Adult S

Street Address*

Answer required for "Street Address"

City*

Answer required for "City"

Zip/Postal*

Answer required for "Zip/Postal"

Parent Information

Parent / Guardian First Name*

Answer required for "Parent / Guardian First Name"

Parent / Guardian Last Name*

Answer required for "Parent / Guardian Last Name"

Parent / Guardian Email*

Answer required for "Parent / Guardian Email"

Parent / Guardian Phone*

Number Required

Alternate Emergency Contact

First Name*

Answer required for "First Name"

Last Name*

Answer required for "Last Name"

Phone*

Number Required

Who will be picking up your child? (Please list all names FIRST & LAST.)*

Answer required for "Who will be picking up your child? (Please list all names FIRST & LAST.)"

Activity Liability & Permission

I, the undersigned below, request that my child be permitted to participate in the above activity. I am not aware of any physical or medical condition my child has that would prevent my child from participating fully in this activity.

My son/daughter has the following medical needs, allergies or dietary restrictions:*

Answer required for "My son/daughter has the following medical needs, allergies or dietary restrictions:"

If my child needs to take medication while participating in this activity, I hereby give my child permission to and, if my child cannot self-administer, I give permission to the responsible staff members or chaperones to administer or to assist in the administration of my child’s medication. I also give permission to the responsible staff members, chaperones, medical practitioners and medical facilities to use their judgement in obtaining and providing medical treatment for my child should it become necessary to do so. I understand that health insurance benefits through St. Dorothy and the Archdiocese of Los Angeles, if any, may have limited application, and that I am entirely responsible for the cost of all medical treatment provided to my child. I agree to reimburse the location for the cost of any medical treatment and related expense incurred.

Release of Liability: As a condition of participating in this activity, I hereby hold harmless, release and discharge The Roman Catholic Archbishop of Los Angeles, a corporation sole, Archdiocese of Los Angeles Education & Welfare Corporation and the Location, their respective agents and employees and any parent/volunteer/chaperone, from any and all liability, loss or claims for personal injuries, wrongful death or property damage that I or my child may suffer as a result of participation in the activity described above.

Authorization And Release To Use Likeness: I further grant the Released Parties the right to photograph and/or video or audiotape my child and further to display, use and/or otherwise exploit my child’s name, face, likeness, voice, and appearance forever and throughout the world, in all media, whether now known or hereafter devised (including, without limitation, in online web casts, television, motion pictures, films, newspapers, and magazines) and in all forms including, without limitation, digitized images, whether for advertising, publicity, or promotional purposes, including, without limitation, publication of Activity results and standings, without compensation, reservation or limitation.*

Answer required for "Authorization And Release To Use Likeness: I further grant the Released Parties the right to photograph and/or video or audiotape my child and further to display, use and/or otherwise exploit my child’s name, face, likeness, voice, and appearance forever and throughout the world, in all media, whether now known or hereafter devised (including, without limitation, in online web casts, television, motion pictures, films, newspapers, and magazines) and in all forms including, without limitation, digitized images, whether for advertising, publicity, or promotional purposes, including, without limitation, publication of Activity results and standings, without compensation, reservation or limitation."

Yes

Parent Signature*

Signature Required

Please select a payment amount below.*

Payment amounts are based on the number of students living in the same household you are registering. If you already paid on a registration form for another child please select "$0.00 - Paying On Another Student's Form."

Answer required for "Please select a payment amount below."

$75.00 - 1 Child

$150.00 - 2 Children

$190.00 - 3 Children

$230.00 - 4 Children

$270.00 - 5 Children

$310.00 - 6 Children

$0.00 - Paying On Another Student's Form

Please fix the highlighted areas below before submitting.

VBS Student Registration 2026

Student Information

Parent Information

Alternate Emergency Contact