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CCD/CGS Registration

Click here to download Registration Form

Kids in Church

Art & Spirituality Camp

Child's first name

Child's last name

Address

Home Phone

Cell Phone

Child's date of birth

Child's Age

1. Emergency Contact Name

1. Emergency Contact Phone

2. Emergency Contact Name

2. Emergency Contact Phone

Name of person(s) who may pick up my child from VBS.

I hereby ___ permission for St. Jude Parish to use pictures of my child, on their Facebook page, or promotional purposes such as parish bulletin and/or bulletin boards.

GRANT

DO NOT GRANT

Parent/Legal Guardian

By clicking this checkbox, you agree that you are the Parent(s) or Legal Guardian(s) of the child listed above.

Thank you for registering!. Please note, 1 form must be submitted per child.

Our Lady of Lourdes & St. Jude Parish

Office 330.482.2351

Fax

330.532.0027

180 Seventh St Columbiana, Ohio 44408

office@ololstj.org

©2023 by Our Lady of Lourdes & St. Jude

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