Vacation Bible School 2017 Registration

Sessions

Grades PreK-6th

July 24-28, 2017, 9:00 AM - 12:00 PM, Monday through Friday.

Registration Closes July 10, 2017.

Tuition

By May 31st: 1 Child/$30; 2 or more children/$50.

After May 31st: 1 Child/$40; 2 or more children/$60

Make checks payable to: St. Mary Magdalen Parish

Teachers: NO fee for you or your children

Financial aid available.

 

   
Part I: Family Information
Family Last Name
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Father's Name
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Mother's Name
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Address
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Primary Phone --
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Secondary Phone --
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Email
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Emergency Contact Name
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Emergency Contact Relationship
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Emergency Phone Number --
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Part II: Student Information
Child's Name
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Birth Date //
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Gender
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Part III: Class Placement
What grade will your child be in this fall 2017?
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Part IV: Additional Information
Please list any information that the teachers need to better help your youth learn.
Allergies
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Learning Style/IEP
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Special Needs/IEP
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Behavioral Problems/IEP
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Part V: Volunteer Opportunities
You have many talents and we can always use your help in our program!
Please check any activities for which you are available to help.
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For security purposes, please enter the text that appears in the box below.
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Parent Signature
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Once you submit this form, the confirmation page will have information to help you calculate your tuition and make an online payment.