VBS Registration - 2018
* By filling out the online registration form, you agree to remit payment prior to the deadline stated below *

$10 per child. If you need assistance, please contact the parish office, we do have some VBS scholarships available.

'Shipwrecked: Rescued By Jesus' VBS will be June 11th - June 15th (9:00 am -12:00 pm each day).

Registration Deadline: Sunday, June 10th, 2018
Child's Name: *
Your answer
Child's Gender: *
Child's Age: *
Child's Date of Birth: *
MM
/
DD
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YYYY
Last School Grade Completed: *
Mother's Name: *
Your answer
Father's Name: *
Your answer
Street Address: *
Your answer
City / State / Zip Code: *
Your answer
Home Telephone Number: *
Your answer
Parent/Guardian - Mobile Telephone Number: *
Your answer
Parent/Guardian - Email Address: *
Your answer
Home Church: *
Your answer
Emergency Contact (Not Parent or Guardian) Name: *
Your answer
Emergency Contact (Not Parent or Guardian) Phone: *
Your answer
Emergency Contact Relationship to Child: *
Your answer
Payment Options
Registered parishioners are invited to pay their 'Shipwrecked: Rescued by Jesus' VBS registration fee via Online Giving at: https://www.myowngiving.com/Default.aspx?cid=689. You must be a registered parishioner to use the Online Giving option.

You may also pay by cash or check on the first day of VBS, by dropping your payment in the collection basket, or by visiting the church office Monday - Friday from 9:00am to 3:30pm.

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This form was created inside of St. Peter's Catholic Church.