VACATION BIBLE SCHOOL

June 20-24, 2016
9:00 am – 12:15 pm
 St. John’s Catholic Church

FATHER_________________________________MOTHER						
PARENT INTERESTED IN HELPING?  ____________
STREET ADDRESS													
CITY											ZIP				
HOME PHONE   (	)				        CELL PHONE(__	)____________________
IN CASE OF EMERGENCY CALL:	(	)			    NAME					
E-MAIL ADDRESS												
WHO WILL PICK CHILD UP EACH DAY										
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1st CHILD’S NAME 					M/F         BIRTHDAY			  AGE		
SCHOOL ATTENDING					GRADE CHILD WILL BE IN 2016-2017		
ALLERGIES OR MEDICAL CONDITIONS 									
PARISH 											_______________
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2nd CHILD’S NAME 					M/F         BIRTHDAY			  AGE		
SCHOOL ATTENDING					GRADE CHILD WILL BE IN 2016-2017		
ALLERGIES OR MEDICAL CONDITIONS 									
PARISH 											_______________
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3rd CHILD’S NAME 					M/F         BIRTHDAY			  AGE		
SCHOOL ATTENDING					GRADE CHILD WILL BE IN 2016-2017		
ALLERGIES OR MEDICAL CONDITIONS 									
PARISH 											_______________

                                                                         Vacation Bible School  is for children age 4 through  sixth grade.
Grade 7 or older – Crew Leader FREE
Student’s Name 						M/F    	   PH # ____________________
School Grade in 2016-2017 			 Birthday				 Age 		
Address                                                     Allergies or Medical Conditions	
We may put VBS photos on our website.  Your child’s picture may be included.
Unless you inform us otherwise, we assume we have your permission to include your child’s picture.
MUSIC CD
 Number to order @ $7.00 each = $___________ (Make check payable to St. John’s)
Registration fee is $10.00 per child.     
DEADLINE FOR REGISTRATION IS June 13.
(You will not be considered registered until we receive the $10.00 fee)