Vacation Bible School - Registration Form

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- VBS 2018 - SHIPWRECKED!
  (Registration at the door begins at 8:30am - June 25th)
  All children are welcome (K - 5th grade)
  June 25- June 29 (9am - 12pm)
  
  Register using the form below or contact our office (207-839-4857) by June 22nd.
- Parent's Information
  
  FAMILY NAME REQUIRED Please fill out this field. Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  Zip Code REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
- Child's Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade my child is entering this Fall REQUIRED Please fill out this field.
  
  Office Use Only Please enter valid data.
- Child's Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade my child is entering this Fall REQUIRED Please fill out this field.
  
  Office Use Only Please enter valid data.
- Special Needs/Allergies REQUIRED Please fill out this field. Please enter valid data.
- My Child would like to be placed with (friend's first/last name) Please enter valid data.
- Photo Authorization REQUIRED
  I authorize my child to be photographed and/or video'd by St. Anne's Church and it may be used on the church website or printed for church use only. I understand that St. Anne's Church will not use any child's name with the photo or video.
  Yes No Please fill out this field.
- I can volunteer to help on these days Monday Tuesday Wednesday Thursday Friday
- Questions/Comments:
Submit

St. Anne's Parish

299 Main Street, Gorham ME 04038

(207) 839-4857

Vacation Bible School - Registration Form

VBS 2018 - SHIPWRECKED!
(Registration at the door begins at 8:30am - June 25th)

Vacation Bible School - Registration Form

VBS 2018 - SHIPWRECKED! (Registration at the door begins at 8:30am - June 25th)

VBS 2018 - SHIPWRECKED!
(Registration at the door begins at 8:30am - June 25th)