Child's Name *

First Name

Last Name

Child's Name

First Name

Last Name

Child's Name

First Name

Last Name

Child's Name

First Name

Last Name

Parent or Guardian *

First Name

Last Name

Parent or Guardian (cont.)

First Name

Last Name

Would you like to volunteer?

Monday

Tuesday

Wednesday

No, thank you

Phone *

(###)

###

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Emergency Contact Name

First Name

Last Name

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.

I DO give permission

I DO NOT give permission