• 

• Monday, July 12th-Friday, July 16th, 2021

  9:30am - 12:15pm at St. Joseph, Corydon

        Welcome to our registration page!

  Pre-School - Ages 4 & 5 (age 4 by July 12)  Grades K-5 (grade you are going into this fall)
• The maximum number of form submissions has been reached. This form is currently not available.

  • For your children's safety, please send children in play clothes with CLOSED TOE shoes.
  • Parent/Guardian
    • First Name REQUIRED Please fill out this field. Please enter valid data.

      Last Name REQUIRED Please fill out this field. Please enter valid data.
    • Home Church Please enter valid data.
    • City Please enter valid data.
    • Home Phone Maximum 20 characters Please enter a phone number.
    • Cell Phone Maximum 20 characters Please enter a phone number.
    • Emergency Contact
    • First Name Please enter valid data.

      Last Name Please enter valid data.
    • Emergency Phone Maximum 20 characters Please enter a phone number.
    • May we have permission for your child's photo/video to be taken? REQUIRED Yes No Please fill out this field.
  • Kids 4 years old - 5th grade are welcome to

    the best week of summer!
  • • How many children will you be registering? REQUIRED Please fill out this field.
    • Child 1
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Age REQUIRED Please fill out this field. Please enter an integer (number).
      • Grade entering in Fall REQUIRED (Select One) K 1st 2nd 3rd 4th 5th 6th Please fill out this field.
      • Allergies or Special Considerations REQUIRED Please fill out this field.
    • Child 2
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Age REQUIRED Please fill out this field. Please enter an integer (number).
      • Grade entering in Fall REQUIRED (Select One) K 1st 2nd 3rd 4th 5th 6th Please fill out this field.
      • Allergies or Special Considerations REQUIRED Please fill out this field.
    • Child 3
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Age REQUIRED Please fill out this field. Please enter an integer (number).
      • Grade entering in Fall REQUIRED (Select One) K 1st 2nd 3rd 4th 5th 6th Please fill out this field.
      • Allergies or Special Considerations REQUIRED Please fill out this field.
    • Child 4
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Age REQUIRED Please fill out this field. Please enter an integer (number).
      • Grade entering in Fall REQUIRED (Select One) K 1st 2nd 3rd 4th 5th 6th Please fill out this field.
      • Allergies or Special Considerations REQUIRED Please fill out this field.
    • Child 5
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Age REQUIRED Please fill out this field. Please enter an integer (number).
      • Grade entering in Fall REQUIRED (Select One) K 1st 2nd 3rd 4th 5th 6th Please fill out this field.
      • Allergies or Special Considerations REQUIRED Please fill out this field.
    • Child 6
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Age REQUIRED Please fill out this field. Please enter an integer (number).
      • Grade entering in Fall REQUIRED (Select One) K 1st 2nd 3rd 4th 5th 6th Please fill out this field.
      • Allergies or Special Considerations REQUIRED Please fill out this field.
    • Child 7
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Age REQUIRED Please fill out this field. Please enter an integer (number).
      • Grade entering in Fall REQUIRED (Select One) K 1st 2nd 3rd 4th 5th 6th Please fill out this field.
      • Allergies or Special Considerations REQUIRED Please fill out this field.
  • Interesting in helping? Yes No
  • Please select: Parent Youth
  • Options: Help in a Station Help in the Kitchen Cannot attend, but would like to donate snacks

  Submit

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