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VBS

- Religious Education

2023 Vacation Bible School Registration Form
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- Child's Name Please enter valid data.
- Grade Level in September Please enter valid data.
- Child's Date of Birth Please enter valid data.
- Home parish if not St. John Paul II Parish Please enter valid data.
- Parent Information
- Father's Name (first and last) Please enter valid data.
- Mother's Name (First & Last) Please enter valid data.
- Street Address Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Father's Best Contact phone number Please enter valid data.
- Mother's Best Contact Phone number Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Emergency Contact Name (other than parent) Please enter valid data.
- Emergency Contact Relation to Student Please enter valid data.
- Allergies, Medical Conditions or special needs
- PHOTOS/VIDEOS
  St. John Paul II Parish reserves the right to use photos or videos of VBS participants in parish publications, news releases, promotional materials and on the parish website and social media. Any parents/guardians who do not wish to have his or her child’s photo or video pbulished must notify the DRE prior to the start of VBS.
- I Agree Please select this field.
- Parent's Name Agreeing to Release Please enter valid data.
Submit

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