St. Jerome VBS 2010 Registration

Parent Information
Name
Address  
Phone
Cell Phone  
Email

Emergency Contact
Name
Phone
Relationship

Children   Grade in Aug. Any food allergies
Name
Name
Name
Name

My child has my permission to be photographed during St Jerome Church’s Vacation Bible School.
I understand that pictures may be used on the parish website, church bulletin,
church video, Catholic Times and/or Troy Tribune.