St. Joseph Catholic Church Vacation Bible School Registration
For children entering K4-5th grade
June 24-28, 2019
8:30-12 noon (drop-off starts at 8:15 am)
REGISTRATION DEADLINE: June 3rd, 2019
$40 for 1 child, $70 for 2 children, $100 for 3 children
Email address *
Child's last name *
Your answer
Child's first name *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Grade entering for 2019-2020 school year *
Parents' names *
Your answer
Person other than parents allowed to pick-up your child
Your answer
Home address
Your answer
Best telephone contact *
Your answer
Please list any ALLERGIES your child has *
Your answer
Emergency contact name AND phone # *
Your answer
Child's t-shirt size *
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of St. Joseph Catholic School. Report Abuse - Terms of Service