VBS Registration 2019

Name of Parent(s)*
Home Address*
Primary Phone Number*
Email Address*
Name(s) of Child(ren) Enrolling (Ages 3-12)*
Do you consent to receive information about future camps and family events via mail or email?*
 Yes, I consent
 No, I do not consent
Do you have a church where you currently attend on a weekly basis?
 Yes, I attend another church on a weekly basis
 No, not at this time
Are you interested in knowing more about membership at St. John's?*
 Yes, I want to know more
 No, not at this time