Vacation Bible School 2022
Dates:     June 27th through July 1st, 2022
Time:       8:30am until 12:30pm
Address: Immaculate Heart of Mary Campus
Cost:        $35/per camper
Contact:   Miss Amy at 315-451-5070, mail: faithformation@ihmsjw.org

Please submit a form for each child. Thank you.
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Email *
Child's Last Name *
Child's First Name *
Grade entering in the Fall of 2022 *
DOB *
Parent/Guardian Last Name *
Parent/Guardian First Name *
Address *
Cell # *
Home #
Name and phone# of person transporting if different than parent/guardian.
Emergency contact *
Emergency phone # *
Dietary restrictions *
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