VBS Registration 2023 - "Back to Jerusalem"
Back to Jerusalem is the theme for VBS at St. Mark in the summer of 2023!  VBS will be held on Monday, June 19, through Friday, June 23, from 9:30-11:30 AM.  In order to better help us prepare for VBS, please complete the following form.  If you have any questions, please contact Mr. Micheel at peter@smwels.org
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Child's Name 1 *
Age and Grade Level in the Fall of 2023 *
Special Needs
Please list any special requests, chronic illness, or allergies that would be helpful in aiding your child in case of an emergency.
Child's Name 2
Age and Grade Level in the Fall of 2023
Special Needs
Please list any special requests, chronic illness, or allergies that would be helpful in aiding your child in case of an emergency.
Child's Name 3
Age and Grade Level in the Fall of 2023
Special Needs
Please list any special requests, chronic illness, or allergies that would be helpful in aiding your child in case of an emergency.
Child's Name 4
Age and Grade Level in the Fall of 2023
Special Needs
Please list any special requests, chronic illness, or allergies that would be helpful in aiding your child in case of an emergency.
Child's Name 5
Age and Grade Level in the Fall of 2023
Special Needs
Please list any special requests, chronic illness, or allergies that would be helpful in aiding your child in case of an emergency.
Parent's (Guardian's) Name *
Parent's (Guardian's) Mailing Address *
Street, City, Zip Code
Student's Mailing Address
If different than parent's mailing address
Home Phone Number
Cell Phone Number
Email Address
Home Church
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