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Vacation Bible School Registration 2022

- Treasured Details:
  
  Monday June 13^th- Tuesday June 14^th
  9:00am-3:00pm
  At St. Ludmila Church
  Age: Preschool through 4^th Grade
  *5^th Grade and older students may consider volunteering
  Cost: $10 per child
  
  **Parents- consider volunteering!
  https://www.signupgenius.com/go/20f0e44a5a62fa2f85-vbs
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Were your child(ren) registered for the 21-22 RE school year? REQUIRED Yes No Please fill out this field.
  
  How many children are registering? REQUIRED Please fill out this field.
  
  Child's Name 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Name 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Name 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Name 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Name 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Name 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Age Please enter valid data.
  
  Last Grade(s) completed Please enter valid data.
  
  Parent/Guardian Please enter valid data.
  
  Address Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Allergies or other Medical Information Please enter valid data.
  
  Emergency Contact Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Relationship to child
  
  Volunteer Name Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Cost per Child
  Please select the amount of children registered
  
  10.0 – One Child
  20.0 – Two Children
  30.0 – 3 Children
  40.0 – 4 Children
  50.0 – 5 Children
  
  Total:
  
  Submit
  
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