26900 78th Ave NW, PO Box 1002, Stanwood WA 98292  |  360-629-3737

2022 Vocation Bible School Registration Form

2022 Vocation Bible School Registration

St. Cecilia Catholic Church, Stanwood, WA

 July 25th - 29th       10 am - 12pm 
     
      No Registration Fee!  
  

Pre School (4yrs. & potty-trained) - 6th Grade

 

 

1st Child
Name
  •  
Gender
  •  
Grade
  •  
For PreK place 0, For Kindergarten place 01. For grades 1-6 place the grade child just graduated from.
Age
  •  
Birth Date //
  •  
Allergies or Medical Issues
  •  
2nd Child
Name
  •  
Gender
  •  
Grade
  •  
For PreK place 0, For Kindergarten place 01. For grades 1-6 place the grade child just graduated from.
Age
  •  
Birth Date //
  •  
Allergies or Medical Issues
  •  
3rd Child
Name
  •  
Gender
  •  
Grade
  •  
For PreK place 0, For Kindergarten place 01. For grades 1-6 place the grade child just graduated from.
Age
  •  
Birth Date //
  •  
Allergies or Medical Issues
  •  
4th Child
Name
  •  
Gender
  •  
Grade
  •  
For PreK place 0, For Kindergarten place 01. For grades 1-6 place the grade child just graduated from.
Age
  •  
Birth Date //
  •  
Allergies or Medical Issues
  •  
5th Child
Name
  •  
Gender
  •  
Grade
  •  
For PreK place 0, For Kindergarten place 01. For grades 1-6 place the grade child just graduated from.
Age
  •  
Birth Date //
  •  
Allergies or Medical Issues
  •  
Authorization
I authorize St. Cecilia VBS to publish or display my child/ren’s work and photos in any form.
  •  
Contact Information
Parent/Guardian Name
  •  
Address
  •  
Phone -- ext
  •  
E-mail
  •  
Emergency Contact
Please complete in case primary contact is not reached.
Name
  •  
Relationship to Child/Children
  •  
Emergency Contact Phone -- ext
  •  
Name of Primary Doctor
  •  
Notes
Additional Information
  •  
Please use for additional information you think St. Cecilia would need to know.
  •  
 
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