Please register any of your children (rising K-rising 5th grade) who would like to participate in VBS and/or any of your Middle School/High School teens who would like to volunteer with VBS. Thanks!

for the Fall of 2020​​
for the Fall of 2020​​​​
for the Fall of 2020​​
for the Fall of 2020​​

Special Needs/Medical Concerns

Please list any necessary medical information needed in the event of a medical emergency or any special needs we need to be aware of. Please list any allergies to food and/or medications and and pertinent medical history that we need to be aware of. If you are registering more than one child, please specify the needs with the child's name.

Emergency Contact Information

Volunteer Needs

In order for us to be able to host VBS at OLGC this summer, we are in need of volunteers to assist with planning, VBS activities, material donations, etc. Please indicate below how you will be able to assist us.

If you will be present for the week of VBS, we will need adults to be Virtus trained and background checked through the Diocese of Arlington.

Thank you for your consideration!

Service hours are available for teens who would like to assist with VBS.

Parental Permissions

Parental Permission and Liability Release: As parent/legal guardian of the participant names above, I give my permission for my children listed above to participate fully in Vacation Bible School at Our Lady of Good Counsel between June 29, 2020 and July 2, 2020.I agree to indemnify and hereby release the Most Reverend Michael F. Burbidge Bishop of the Catholic Diocese of Arlington and his successors in office, as well as the Catholic Diocese of Arlington and all Diocesan clergy, employees, volunteers, and participating parishes and schools from any and all liability, claims, demands for personal injury, sickness and death, as well as property damage and expenses of any nature whatsoever which may be incurred by the undersigned of the participant resulting from said participant’s involvement in the above mentioned event (including transportation to and from the event). Furthermore, I on behalf of the participant hereby assume all risk of personal injury, sickness, death, damage, and expenses resulting from said participant’s involvement in the above described event.

Informed Consent to Medical Treatment: I request that in my absence the above-named minor be admitted to any hospital or medical facility for diagnosis and treatment. I request and authorize physicians, dentists, and staff, duly licensed as Doctors of Medicine or Doctors of Dentistry or other such licensed technicians or nurses, to perform any diagnostic procedures, treatment procedures, operative procedures and x-ray treatment of the above minor. I have not been given a guarantee as to the results of examination or treatment. I authorize the hospital or medical facility to dispose of any specimen or tissue taken from the above-named minor. I assume full responsibility for all costs of such treatment. Further, should it be necessary for the participant to return home due to medical, disciplinary, or other reasons, I do hereby assume responsibility for the participant’s transportation home and any costs related thereto.

Photo, Press, Audio, and Electronic Media Release: I authorize the Catholic Diocese of Arlington, its parishes, its schools and/or the Arlington Catholic Herald to use and publish my child’s photograph, video and/or audio recording along with their name identifying them for educational, news stories, illustration and/or marketing purposes.

I understand and hereby agree to the terms and conditions of the participant’s involvement in the above described event and I freely execute this Acknowledgement with full knowledge of its content.

The electronic signature below is treated by Our Lady of Good Counsel Parish as a physical, handwritten signature on a paper document.

Fees

We are asking $60 per child to help cover the costs of VBS. You may pay online via Faith Direct (once you submit the form you will be directed to a link for Faith Direct) or you may mail in a check to OLGC (memo:VBS).

Cost Per Seat: 60.00Charge: 0.00Do not include any of your teen children who are volunteering in this count.​