2019 St. John’s VBS  June 9th to 13th  5 pm to 8 pm

2019 St. John’s VBS June 9th to 13th 5 pm to 8 pm

Child 1 Name *
Child 1 Name
Child 2 Name
Child 2 Name
Child 3 Name
Child 3 Name
Parent 1 Name *
Parent 1 Name
Parent 1 Address *
Parent 1 Address
Parent 1 phone *
Parent 1 phone
Parent 2 Name
Parent 2 Name
Parent 2 Address (if different)
Parent 2 Address (if different)
Parent 2 phone
Parent 2 phone
Emergency Contact (not parent) *
Emergency Contact (not parent)
Emergency Contact phone (not parent) *
Emergency Contact phone (not parent)
Photo Permission *
Medical Emergency Provision *
Suggested Registration $10