2021 St Joe VBS Camper Registration Form
The 2021 St Joe Vacation Bible School takes place on June 7, 8, & 9 from 6:30 pm to 8:10 pm. VBS will be held at the St Joe Community Church, 2900 North Anthony Blvd., Fort Wayne, Indiana. (Google Map: https://goo.gl/maps/AW44H1oXM61S2Wd38). Please fill out the following information for your child to attend in this year's VBS. Questions: Denise Marquart: (mobile/text) 260.442.6655 | DeniseKBrooks@aol.com or Amy Minick: (mobile/text) 260.312.7275 | minick.family@frontier.com.

> All registration is online via this form.
> Registration deadline is May 31, 2021
> Covid 19: Masks must be worn by adult workers and children alike. Each day at VBS, workers will pose Covid 19 intake questions, checking temperatures, and sanitizing hands.
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Child's name(s) *
Parent/Guardian name(s) *
Child's residential address *
Child's mailing address (if different) *
Parent phone number(s) (please include work, home, mobile) *
Email(s) *
Child's birth date(s) *
Child's last grade completed in school *
Medical or other information that the VBS staff need to know. (Please include any food allergies.) *
Emergency contact(s) and phone number(s) *
Who may pick up your child at the end of each VBS day? *
Does your child attend a church? Where? *
If you are visiting St Joe Community Church, who are you a guest of? *
May we have permission to use your child's photograph in church publications for the purpose of promotion? *
St Joe Community Church will take appropriate Covid19 precautions to ensure the safety for VBS 2021 volunteers and participants. St Joe Community Church cannot be held responsible for Covid19 related illnesses. Parent/Guardian: Please type your full name in the following field to serve as your signature to affirm your understanding and agreement to this policy. *
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