John Paul II Pastoral Unit

2015 Vacation Bible Camp Registration

This years camp will be held at Stella Maris Parish church in North Rustico on July 6 - 10, 2015 from 9am-3pm. Youth are required to bring their own lunch. Snacks will be supplied.

Name of Child

Age

Grade your child completing this year in school

Parish Church

Parents Names

Does the child have Any Medical Conditions?

Does the child have Any Food allergies?

In case of Emergency please contact:

Name

Telephone

Cell Phone

If someone else is picking up your children at the end of the day

Name

Telephone

Cell Phone

T-shirt Size