St Ann Vacation Bible School Registration 2018
Event Timing: June 18- 22nd, 2018. 9am-noon
Event Address: 12648 East D Avenue, Augusta, MI, 49012
Contact us at 269-731-4721 or bobbyk@stannaugusta.org
Your Name *
Your answer
Your Phone number *
Your answer
Child 1's name *
Your answer
Child 1's Relationship to you *
Your answer
Child 1 is a parishioner? *
Child 1 address (if not a parishioner)
Your answer
Child 1's age *
Child 1's Grade *
Your answer
Child 1 Food Allergies *
Your answer
Child 1 Special Needs
Your answer
Child 2's name
Your answer
Child 2's Relationship to you
Your answer
Child 2 is a parishioner?
Child 2 address (if not a parishioner and different from child 1)
Your answer
Child 2's age
Child 2's Grade
Your answer
Child 2 Special Needs
Your answer
Child 2 Food Allergies
Your answer
Child 3's name
Your answer
Child 3's Relationship to you
Your answer
Child 3 is a parishioner?
Child 3 address (if not a parishioner and different from child 1)
Your answer
Child 3's age
Child 3's Grade
Your answer
Child 3 Special Needs
Your answer
Child 3 Food Allergies
Your answer
Child 4's name
Your answer
Child 4's Relationship to you
Your answer
Child 4's age
Child 4's Grade
Your answer
Child 4 is a parishioner?
Child 4 Special Needs
Your answer
Child 4 Food Allergies
Your answer
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