VBS 2018 Application

>NOTICE: REGISTRATION FOR JUNE VACATION BIBLE SCHOOL IS NOW CLOSED. FOR MORE INFORMATION PLEASE CONTACT DOMINIQUE DEVINE AT 904-642-4575. THANK YOU!

Enrollment for Episcopal Redeemer Church vacation bible school, June 18-22, 2018 is FREE.

Click "Apply" after completing. You will receive an Immediate acknowledgement that the Application has been Sent. Within two business days you will receive an email from Dominique Devine, Children's Ministries Director, with further information. If not received, call the church office at 904-642-4575 or email Dominique Devine at Vacationbibleschoolredeemer@gmail.com.)
Please complete the below application and "Apply" today!

* Indicates required field

Student Name (first & last) *

Age as of 06/01/2018 *

Nickname *

Grade Just Finished *

Gender *

T-Shirt Size (Youth) *

Parent Name *

First

Last

Street Address and number *

Email *

Address (City. State and Zip) *

Re-Enter Email *

Home Phone No. *

Emergency Contact (first/last name) *

Cell Phone Number *

Emergency Phone (if we can't contact parent) *

Alternate Pickup first/last name *

Allergies *

Alternate Pickup phone number *

Medical Issues or Special Needs *

Home Church (if applicable) *

Medical Release (type initials) *

Do you want to buy a Music CD/DVD? *

Photo Release (type initials) *

Permission To Attend (type initials) *

Signature (by typing my signature to this application I accept all terms and conditions just as if I had entered my signature by hand) *

APPLY