Mt Carmel Catholic Church

Vacation Bible School Registration

Please fill out and submit for each child attending.

Student`s Name

Age as of 5/24/2013

School Grade entering 9/13

Parent`s or Guardians Name

Home Phone Number

Emergency Number

Parent`s email

Allergies

Church Affiliation

I grant permission to use any photos taken of my child for church-related events and promotions.

Photo Release

Special Needs

I would like to help with VBS

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