St. Roch VBS 2019 Child Registration: Roar!
Thank you for giving your child the opportunity to participate in our 2019 Vacation Bible School program, Roar, which will be in the evenings from Sunday, July 14, through Thursday, July 18! With registration, we ask a $10 contribution per child, $25 per family of 3+ children, which can be submitted to the Parish Office or paid the first day of VBS at check-in. Questions? Contact Stephanie Newton at (317) 784-1763 or snewton@strochindy.org .
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Email *
Child's First Name *
Child's Last Name *
Date of Birth *
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Grade Level for 2019-20 School Year *
Parent's First Name *
Parent's Last Name *
Street Address *
City/State/Zip Code *
Primary Phone Number *
Secondary Phone Number *
Emergency Contact - Name *
Emergency Contact - Phone Number *
Special needs/Allergies
Person Responsible for Pickup After VBS *
Pickup Phone Number *
Pickup Relationship to Child *
In the event of illness or injury, I do hereby consent to St. Roch Staff to administer any necessary medical treatment. I fully understand that students are to abide by all rules and regulations governing conduct and safety while attending Vacation Bible School. Any violation of these rules and regulations may result in that individual being sent home. *
Required
 I give St. Roch Parish permission to use photographs of my children for their website or other promotional or informational purposes. *
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