Vacation Bible School Registration 2025

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

Gender REQUIRED Male Female Please fill out this field.

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

Grade Completed (24/25) REQUIRED Please fill out this field. Please enter valid data.

Allergies or Medical Conditions Please enter valid data.

Family Information

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

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

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.

Phone Number Please enter a phone number.

Emergency Contact:

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

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

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

Payment Per Child (K-5th Grades) REQUIRED

10.0 – 1 Child

20.0 – 2 Children

30.0 – 3 Children

40.0 – 4 Children

50.0 – 5 Children Please fill out this field.

I would like to make a donation to the VBS program in the amount below. $ Please enter a positive decimal.

My child(ren) participated in the Religious Education Program in 2024-2025 at St. Ludmila or another Archdiocese Parish. Therefore, there is a waiver of participation on file. REQUIRED Yes No Please fill out this field.

St. Ludmila
Catholic Parish

Cedar Rapids, IA

Vacation Bible School Registration 2025