Registration for VBS: Hometown Nazareth
June 10 - 14, 2024
9:00 am to 12:00 pm 
*Cost is $25 per child
For children ages 3 years to 5th grade
the Church @ St John, 550 Mount Paran Road, Atlanta, GA 30327
Contact us at 404-255-1384 or children@stjonnatlanta.org
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Email *
Name of Child *
Does your child attend The Chastain School @ St John *
Required
Child's grade or age level entering Fall 2023 *
Allergies:
Please indicate Yes or No. 
If yes, please list allergies. 
** Note: We will be a nut-free zone for this event 
 *
Is there anything else that would be helpful for us to know about your child?
 *
Parent Name *
Parent Phone *
Parent Email *
Emergency Contact Name and Relationship to child
(Please use Emergency Contact other than parent listed above. In the event of an emergency, we will try to contact the Parent first and then the Emergency Contact)
 *
Emergency Contact Number *
Media Release: Yes or No
By selecting Yes to the media release, you authorize St John to use images and pictures that may include your child for marketing and development purposes. For example: Facebook, website or printed media. (** No names will be used)
 *
Medical Release: 

Upon arrival, you will be asked to sign a medical release form authorizing the staff of St John to act on your behalf, in their best judgment, in any emergency requiring medical attention. Please check yes that you understand that you will have to sign a medical release form in order for your child to participate in VBS at St John.

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How did you hear about St John VBS? *
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