2019 Vacation Bible School (VBS) Registration
August 5th - 9th; 9:00 a.m. - Noon


(***If you see an edit pencil in the right hand corner PLEASE do NOT use it! ***)

PARENT'S LAST NAME *
EACH FAMILY MUST REGISTER THEIR OWN CHILDREN
Your answer
PARENT'S FIRST NAME *
Your answer
Parish ID Number
a.k.a. Envelope #
Your answer
STREET ADDRESS *
Your answer
ZIP CODE *
Your answer
EMAIL ADDRESS *
Your answer
HOME PHONE NUMBER *
Your answer
CELL PHONE NUMBER *
Your answer
IN CASE OF EMERGENCY PLEASE CONTACT: *
NAME
Your answer
EMERGENCY CONTACT *
PHONE NUMBER
Your answer
RELATIONSHIP TO CHILD(REN) *
Your answer
DOES/DO YOUR CHILD/CHILDREN HAVE PERMISSION TO BE PHOTOGRAPHED? *
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