Holy Rosary VBS Registration 2019

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Registering students for Vacation Bible School June 24-28 2019 from 6-8 pm!

Email *

Name of student *

Age of student *

Gender of student *

Female

Male

Grade of student (19-20 school year) *

Allergies/Medical issues the team should know?

Home church

If possible put in same group as (name of student)

Parent/guardian name *

Parent/guardian cell phone number *

Parent/guardian home phone number

Parent/guardian other number

Parent/guardian email address *

Address *

City/State/Zip *

Emergency Contact *

Emergency Contact Phone *

Alternate pickup

Alternate pickup phone number

PHOTO RELEASE

I hereby agree to the release of any photographs including their name, taken of my child at Holy Rosary Parish for any and all publicity and promotional purposes including but not limited to advertisements, brochures, newsletters, social media sites and the parish web site.

Send me a copy of my responses.

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