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St. Paul’s Episcopal Church Vacation Bible School
July 18th – 22nd
K3 (completed)- Grade 5 9:00 a.m.-12:00 noon
Participant Sign-up
Name:______________________________________ Birthdate _______________
Age _______ Grade (Completed) _________ T-shirt Size (circle one): Child’s: S M L XL Adult: S M L
Parent’s Name _______________________________________________________
Address ______________________________________________________________
Home phone _________________ Work _______________ Cell _______________
Email address_________________________________________________________
Name(s) of person(s) who make pick this child up from VBS.:
_______________________________________________________________________
Emergency Contact_____________________________ Phone_______________
Allergy/Health Information___________________________________________
My child has my permission to attend and participate in the
St. Paul’s Vacation Bible School Program.
Parent’s Signature__________________________________ Date____________
PLEASE BRING OR MAIL COMPLETED FORM AND $15 REGISTRATION.
I am interested in volunteering to help with VBS. Please contact me.