Vacation Bible School Registration - St. John The Evangelist

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St. John the Evangelist
Vacation Bible School Registration
Dates: August 8th-12th from 9am-12:15pm
Location: St. John the Evangelist Parish Center
Please fill out this form completely. Thank you!
Child’s Name: _____________________________ Date of Birth: ______________________
Address: ____________________________________________________________________
Allergies/Health Concerns: _____________________________________________________
Grade entering in the Fall: ___________________ Sex: M ( )
F ( )
School: ____________________________________________ PREP Student:
Y ( ) N ( )
Registered at St. John the Evangelist Parish: Y ( ) N ( )
Name (s) of Parent(s): _____________________________ Day Phone: __________________
Work Phone: _______________________ Cell Phone: ______________________________
Email Address: _________________________________________________________________
Emergency Contact: Name: ______________________________________________________
Phone: _____________________________________________________
If possible, please place my child in the same group as this friend: ________________________
______________________________________________________________________________
T-shirt size - These are youth sizing and run small! (Please check the size you’d like.)
Small (6-8) _____
Medium (10-12) ______
Large (14-16) ________
Adult Small _____
Adult Medium ______
Vacation Bible School is entirely a volunteer based program provided by members of our
community in conjunction with the Youth Ministry Program. If you are interested in
volunteering, please indicate your area of interest. Thank you!
I would like to volunteer with VBS at St. John’s August 8th-12th. I prefer to help with:
Games: _____
Crafts: ______
Snacks: ______
Small Group Leader: _______
Ages: VBS is open to those youth who are Pre-School Age through 6
th
Grade and it costs:
- $50 per child from 9am-12:15pm each day for the full week
- $15 per child per day if you wish to attend the camp for only one or a couple of days
- $100 maximum per immediate family if pre-registered for the week
You can register and pay online at You can also submit
registration in person to the Parish Office. Checks can be made payable to St. John the
Evangelist. There are no refunds. Please contact Maria Parker, Director of Youth Ministry, at
with any questions!
Parent Signature: ___________________________________
Date: _________________

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