REGISTRATION FORM
  Child's Name (1)
  Grade (Sept.)   T-Shirt Size
  Child's Name (2)
  Grade (Sept.)   T-Shirt Size
  Child's Name (3)
  Grade (Sept.)   T-Shirt Size
  Child's Name (4)
  Grade (Sept.)   T-Shirt Size
  Church Family Attends
  Phone Number
  Email Address
This section is for VBS Volunteers Only.
  Preschool Child (3-5yrs.)
  Child's Name   Child's Age
  T-Shirt Size
  Childcare Child (0-2yrs.)
  Child's Name   Child's Age
  Contact Person   (in case of emergency)
  Phone #
  Cell Phone #
  Physician's Name
  Physician's Phone #
  Dentist's Name
  Dentist's Phone #
  Hospital Preference St. Ritas
  Lima Memorial
  Allergies
  Other Concerns
 I give permission for my child to participate in the Lima Catholic Community VBS at St. Charles School.   
 We will not hold the Lima Catholic Community responsible for accidents that would occur during normal participation.   
  Parents Name
  Parents Email