St. Florian Vacation Bible School Registration






July 18-22, 2005 -- 9:00am - 12 Noon.

To register simply print off the form, fill it out and place it in an envelope marked "VBS". Please enclose your payment when registering. Return the envelope to school office, rectory or Church collection basket. If you have questions please contact the rectory at 773-646-4877.

PLEASE PRINT!

Child's
(Children's)
name(s)

 

1

 

2

 

3
Age

 

Child 1 __________ Child 2 ____________ Child 3 ____________
Address

 

______________________________________________________
Phone

 

______________________________________________________
T-shirt size

 

Child 1 __________ Child 2 ____________ Child 3 ____________
$15.00 fee

 

$15 x _________ child (children) = $___________________ amount enclosed
(covers snacks, shirt, CD art supplies, etc)
Date

 

______________________________________________________
Emergency
phone

 

______________________________________________________