If Vintage is home to you, please complete the form below to ensure that we have your correct information in our database. We want to stay connected with you and help you stay connected with us! Questions? Email April Joonsar at april@vintage242.com

Please also include preferred name if different.
Address
Address
His cell
His cell
Her cell
Her cell
Home phone
Home phone
I’d like to receive email correspondence pertaining to the following:
Check all that apply
I consistently & currently serve at Vintage in the following areas:
Check all that apply
List all that apply
1. Child/Student Full name
1. Child/Student Full name
Gender
Date of birth
Date of birth
Cell phone
Cell phone
2. Child/Student Full name
2. Child/Student Full name
Gender
Date of birth
Date of birth
Cell phone
Cell phone
3. Child/Student Full name
3. Child/Student Full name
Gender
Date of birth
Date of birth
Cell phone
Cell phone
4. Child/Student Full name
4. Child/Student Full name
Gender
Date of birth
Date of birth
Cell phone
Cell phone