Helping bring the Hillsboro community to Christ through Prayer, Sacrament, and Charity

St. Rose of Lima's Vacation Bible School

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  Parent #1 Name REQUIRED Please fill out this field. Please enter valid data.
  
  Parent #1 email Please enter valid data.
  
  Parent #1 Phone REQUIRED Please fill out this field. Please enter valid data.
  
  Parent #2 Name Please enter valid data.
  
  Parent #2 email Please enter valid data.
  
  Parent #2 Phone Please enter valid data.
  
  I grant permission for St Rose of Lima to photograph my child participating in Vacation Bible School activities. My consent gives St Rose church permission to use and publish these pictures.
  
  Number of Students REQUIRED Please fill out this field.
  
  Student 1
  
  Student Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student Going Into Grade: REQUIRED Please fill out this field. Please enter valid data.
  
  Allergies, Medical Conditions, or Special Needs?
  
  Student 2
  
  Student Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student Going Into Grade: REQUIRED Please fill out this field. Please enter valid data.
  
  Allergies, Medical Conditions, or Special Needs?
  
  Student 3
  
  Student Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student Going Into Grade: REQUIRED Please fill out this field. Please enter valid data.
  
  Allergies, Medical Conditions, or Special Needs?
  
  Student 4
  
  Student Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student Going Into Grade: REQUIRED Please fill out this field. Please enter valid data.
  
  Allergies, Medical Conditions, or Special Needs?
  
  Student 5
  
  Student Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student Going Into Grade: REQUIRED Please fill out this field. Please enter valid data.
  
  Allergies, Medical Conditions, or Special Needs?
  
  Registration Fees (Mid-Morning Snack Included) REQUIRED
  25.0 – 1 Student
  50.0 – 2 or More Students
  0.0 – Pay in Person; Contact Andrea Dufner Please fill out this field.
  
  Contact Andrea Dufner by emailing [email protected] for scholarships if needed.
  
  Total:
  
  Submit
  
  Proceed to Payment
  
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