& PLEASE REGISTER ONLY ONE FAMILY PER FORM. : DIRECTIONS FOR ONLINE USE: Type the information requested in the boxes below. If a particular box requires no answer, leave it blank. When the form is complete, check over it or print a copy before you click the SUBMIT button; you also have the option to erase everything and start over. The form is submitted to a mailbox which is checked daily. If you enter an email address, you will be contacted by email when your form is received and has been submitted to the Bible Institute Superintendents. * Any questions regarding THE SUBMIT PROCESS,  Contact Us: stpaul@stpaulamejax.com. ORIGINAL FORMS ARE AVAILABLE AT THE BOTTOM OF THIS PAGE TO SUBMIT BY EMAIL ATTACHMENT OR PRINT TO SUBMIT IN PERSON.


Saint Paul African Methodist Episcopal Church

BROOKS-JOHNSON VACATION BIBLE INSTITUTE
2017 STUDENT REGISTRATION FORM

 

FAMILY CONTACT INFORMATION

 

Today’s Date: 

      

Name:  

 

Address: 

 

City:         Zip Code:

 
Phone:  Home 
     Cell       Email Address: 

 

TRANSPORTATION REQUIRED?     Yes      No   (Please select one)
*AFTER COMPLETING CONTACT INFORMATION / PLEASE COMPLETE SECTIONS BELOW

-----------------------------------------------------------------------------------------------------------------------------------------------------

- Please list EACH family member / friend below, that will attend BJVBI to *INCLUDE the person completing this form.
- Select your Class by clicking the button RIGHT of your age group
(in parenthesis)

- Please make selections for sections a, b, c & d

 

1. Name:  

 

a. Adult (36+) Young Adult (18-35)

- Senior (16-17) Intermediate (13-15) Junior (10-12) Primary (6-9) Beginner (2-5)  

 

b. St. Paul AMEC Church Member: No

c. Do You Attend Church School?: No
d. Did You Attend Brooks-Johnson VBI in 2016?: No

 

 

2. Name:  

 

a. Adult (36+) Young Adult (18-35)

- Senior (16-17) Intermediate (13-15) Junior (10-12) Primary (6-9) Beginner (2-5)

 

b. St. Paul AMEC Church Member: No

c. Do You Attend Church School?: No
d. Did You Attend Brooks-Johnson VBI in 2016?: No

 

 

3. Name:  

 

a. Adult (36+) Young Adult (18-35)

- Senior (16-17) Intermediate (13-15) Junior (10-12) Primary (6-9) Beginner (2-5)

 

b. St. Paul AMEC Church Member: No

c. Do You Attend Church School?: No
d. Did You Attend Brooks-Johnson VBI in 2016?: No

 

 

4. Name:  

 

a. Adult (36+) Young Adult (18-35)

- Senior (16-17) Intermediate (13-15) Junior (10-12) Primary (6-9) Beginner (2-5)

 

b. St. Paul AMEC Church Member: No

c. Do You Attend Church School?: No
d. Did You Attend Brooks-Johnson VBI in 2016?: No

 

 

Please submit an additional form if you need to add more names.

 

THE SUBMIT PROCESS

 

 

WHEN YOU CLICK THE SUBMIT BUTTON, YOU SHOULD RECEIVE CONFIRMATION THAT YOUR INFORMATION IS SUBMITTED.
IF YOU HAVE PROBLEMS, EMAIL US IMMEDIATELY! ~ PLEASE BE SPECIFIC ABOUT WHAT DID OR DID NOT OCCUR.
IF YOU ENTERED AN EMAIL ADDRESS & HAVE NOT RECEIVED A RESPONSE IN 3 DAYS, EMAIL US: stpaul@stpaulamejax.com

 

SEND YOUR REQUEST -->        <--CLEAR YOUR REQUEST / START OVER

 

CLICK TO OPEN THE ORIGINAL FORM IN MICROSOFT WORD:
Complete the form, PRINT & SUBMIT at the Church's Office or ATTACH to E-MAIL to: stpaul@stpaulamejax.com

 

CLICK TO DOWNLOAD & OPEN THE ORIGINAL FORM IN ADOBE PDF:
YOU CAN: Complete the form (enter information in the fields), PRINT & SUBMIT at the Church's Office
YOU CANNOT: SAVE THIS PDF DOCUMENT WITH FIELD ENTRIES or ATTACH to E-MAIL WITHOUT ADOBE ACROBAT (or the Plug-in)
For more information about Adobe products/software, please visit their Website: https://www.adobe.com/downloads.html

 

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