Vacation Bible School

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Click Submit Form to send this information to Holy Redeemer Catholic Church.
*Required fields
Registration Fee $30.00

Student 1
Suffix
*First Name *Last Name
*Middle Name Nickname
*Birth Date
*Gender Female   Male
*Shirt
Class Choices
*Class 1
Student Remarks
  Health Problems

*Family Option  New Family Information  Update Existing Family Information
       ID/Env:  
       Note: Just enter the field(s) that need to be updated.

Head of Household
  Title Suffix
*First Name *Last Name
*Gender Female   Male

  Spouse
  Title Suffix
*First Name *Last Name
  Relationship
Marital Status

Family Street Address
*Line 1
*City
*State
*ZIP

Family Phone Numbers
Note: If you would like to receive a text message when your parish sends a quick communication, select your provider from the Description drop-down list. Standard text messaging rates apply.
*Primary ( ) - Unlisted
  Other ( ) - Unlisted
Family Email Address
*Email Unlisted
Send Email Instead of Mail When Possible

  Student's Emergency Contact 1
  Title
*First Name *Last Name
*Relationship
Phone Numbers
Note: If you would like to receive a text message when your parish sends a quick communication, select your provider from the Description drop-down list. Standard text messaging rates apply.
*Primary ( ) - Unlisted
  Other ( ) - Unlisted
Email Address
*Email
Send Email Instead of Mail When Possible


Click Submit Form to send this information to Holy Redeemer Catholic Church.
Holy Redeemer Catholic Church