VBS 2025 Registration | St. Joseph Parish

Saint Joseph Parish VBS Registration

Please fully complete this section

Student's First Name

Last name

Grade

Gender: Male/Female

Street Addres: City, State & Zip

Mother is Primary Contact

Mother's Name: (First) (Middle) (Last)

Cell Phone, Home Phone, & Work Phone

Mother's Email:

Father is Primary Contact

Father's Name: (First) (MIddl (Last)

Cell Phone, Home Phone, Work Phone

Father's Email:

Please notify teacher or Parish Office of changes to your contact Information.

In case of emergency or illness, and neither parent can be reached, do you authorize the Teacher, Youth Minister or Staff Member to act if medical assistance is necessary?

Choose one:

Yes

Name of Physician:

Emergancy contact: Name & Phone#

I understand that it is importnt for my child to attend class regularly in order to gain a consistant thorough understanding of the faith and teachings of the Church. I will do my best to have them in class on time.

Are you currently registered at St. Joseph's church and attending mass here at St. Joseph?

Yes

Parent Signature

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