2017 Holy Moly! Vacation Bible School at St. John's, Lafayette

Registration Form

The completed form will automatically be emailed to St. John's, Lafayette.  

Child's Name *
Child's Name
Child's Name
Child's Name
Child's Name
Child's Name
Child's Name
Child's Name
Parent or Guardian *
Parent or Guardian
Parent or Guardian (cont.)
Parent or Guardian (cont.)
Would you like to volunteer?
Phone *
Phone
Emergency Contact Name
Emergency Contact Name
Emergency Contact Phone
Emergency Contact Phone
Permission *
St. John's Episcopal Church may take photographs during this event. We use these photos to record our history and illustrate church life in our newsletter, on our website, and/or on social media. Please indicate whether or not you give permission for photos of your child/ren to be used in these ways.