2021 St. Rafka Vacation Bible School Registration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

God's Wonders - Tuesday, August 3rd - Friday, August 6th, 9:30 AM - 12:30 PM each day.

The cost is $30 per child. Please register and give payment to the church office by Monday, July 26th. Payment can be made by cash, check (made payable to St. Rafka Church), or online here: https://bit.ly/3iIlMs8 (please select the FF-Faith Formation option and enter the total cost for all children you are registering)

Participant's Name *

Age *

Parent's Names *

Email Address *

Phone Number *

Home Address (Address, City, State, Zip Code) *

Emergency Contact *

Emergency Contact Phone # *

Allergies/Medications/Health issues (if any) *

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms