Vacation Bible School Registration

Summer 2017

Thanks for taking a moment to register your Vacation Bible School needs for your children with our parish office. Vacation Bible School will operate from 8 am and continue throughout the day, June 17, 2017. Please fill out the form as completely as possible and then click submit.

Name of Bible School Child

First Name*

Last Name*

School Grade of Child Participating
Required*

	Kindergarten
	Grade 1
	Grade 2
	Grade 3
	Grade 4
	Grade 5

Age of Bible School Participant

Required*

Mother's Name

First Name*

Last Name*

Father's Name

First Name

Last Name

Address

Street 1

Street 2

City

State

Zip

Primary Phone

Required* --

Cell Phone

Parents Work Phone

Email Address

Required*

Check the program for which you wish to register:
Required*

Vacation Bible School - June 17, 2017

Registration Fee

Vacation Bible School Fee is $10 per child. Family fee of $25 includes all children in the family. Scholarships are available based on need. Contact Father Carl Kerkemeyer.