2018 Vacation Bible School Registration Form

SHIPWRECKED: Rescued By Jesus! June 11-14, 2018
The Church of St. Gerard Majella

Participant Registration Deadline: May 18!
Volunteer Registration Deadline: May 11!

Family Name (last)
Parent/Guardian Name
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Home Phone Home Phone - ### - ### ####
Cell Phone Cell Phone - ### - ### ####
Email
Do you have a child/ren to register?
(If volunteer only, select "No" to skip the registration section of the form.)