St. Mary's VBS 6/6/2022-6/10/2022

Children must be 5 years of age by January 1st, 2022 to attend.

Children's Information

1st Child

Grade Completing in May 2022

Date of Birth

Allergies:

2nd Child

Grade Completing in May 2022

Date of Birth

Allergies:

3rd Child

Grade Completing in May 2022

Date of Birth

Allergies:

4th Child

Grade Completing in May 2022

Date of Birth

Allergies:

5th Child

Grade Completing in May 2022

Date of Birth

Allergies:

Parent Name

Phone Number

Parent Email

Home Parish:

Emergency Contact Name

Emergency Contact Phone Number

Amount for Children entered:

Running Total

$0.00

Total

$0.00

Classes will be from 9:00am to 12:00pm June 6th-10th. Children must be dropped off no earlier than 8:45 am and picked up no later than 12:15 pm.

I have read and agree to the terms above.