VBS Registration Form


The VBS Registration is now Closed

 

St. John’s Episcopal Church

July 24th – July 28th

9 a.m. to 12 Noon

 Children:  Ages 4 – Entering Fifth Grade

 

Child One (required)

Child's Name*

Age(as of 6/1)*

DOB* (dd/mm/yyyy)

Grade Entering

Please List Any Allergies


Child Two (optional)

Child's Name

Age(as of 6/1)

DOB (dd/mm/yyyy)

Grade Entering

Please List Any Allergies


Child Three (optional)

Child's Name

Age(as of 6/1)

DOB (dd/mm/yyyy)

Grade Entering

Please List Any Allergies


Parent's Name*

Address

Phone Number*

Email*


Emergency Contact Name*

Emergency Contact Phone Number*

Person(s) Authorized to Pick Up Child*

Relationship to Child*


Volunteer

I can volunteer to be a leader/helper of a group of 10-12 childrenI can volunteer a few hours

Day(s) Available:

MondayTuesdayWednesdayThursdayFriday


Special Note: There will be photos taken during the VBS week. These may be used for posting on our St. John’s website, for our Facebook page, for our newsletter or for sharing within the church. If you prefer to not have your child photographed and included in our sharing, please contact the church office.
Thank you.

* Indicates a Required Field