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

St. Rose of Lima's Vacation Bible School

- Open to all students finishing K-6th Grades
  
  Tuesday, May 30th - Thursday, June 1st
  4:00pm to 7:00pm
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Parent Name(s) REQUIRED Please fill out this field. Please enter valid data.
  
  Parent email Please enter valid data.
  
  Parent Phone REQUIRED Please fill out this field. 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 Finishing 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 Finishing 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 Finishing 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 Finishing 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 Finishing Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Allergies, Medical Conditions, or Special Needs?
  
  Registration Fees (Supper 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 dre@strosehillsboro.church for scholarships if needed.
  
  Total:
  
  Submit
  
  Proceed to Payment
  
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