St. John the Evangelist Catholic Church Vacation Bible School Registration Form
ONE FORM PER CHILD

Vacation Bible School will be at St. John the Evangelist Catholic Church beginning Monday, June 24 to Friday, June 28 from 6 p.m. until 8:30 p.m.

Name of Child *
Your answer
Gender *
Grade Level (2018-2019 school year) *
T-shirt Size *
Parent Name *
Your answer
Mailing Address *
Your answer
Parent Phone Number *
Your answer
Email *
Your answer
Any food allergies, special needs or circumstances that we need to be aware
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Consent to allow my child’s image to be recorded, either by photograph or video, and used during the VBS week or future advertisement of Parish VBS programs. Any other use will require your further consent. *
Comments
Your answer
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