St. Patricks & St. Anthonys Catholic Community at 920 Fulton Street, Grand Haven, MI 49417 US

VACATION BIBLE SCHOOL

June 21st - 25th 9 a.m. - Noon

Registration Form

(one per child)
Child's name: *
Child's age: *		Date of birth: *
Last school grade completed: *
Name of parent(s): *
Address: *
City: *		State: *	ZIP: *
Home telephone: *
Parent/caregiver's cell phone: *
In case of emergency, contact: *
Relationship to child: *
Allergies or other medical conditions:
Home parish:
(for parish use only)

	YES, I would like to volunteer.




* = Required Field

We need a registration form for each child attending VBS.
Payment can occur one time for up to 4 children using the Paypals link below.
Payment can also be made at the Family Center Office on or before June 22nd.
The VBS music CD will be available for an additional $5.00,
email or call the Family Center to reserve your copy. 616-842-8230 Ext. 25
MEDICAL RELEASE FOR GRADES 1-5 - PLEASE PRINT AND TURN IN ON FIRST DAY

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St. Patrick's & St. Anthony's Catholic Community at 920 Fulton Street, Grand Haven, MI 49417 US - VACATION BIBLE SCHOOL