VBS Registration

SAINT PAUL'S LUTHERAN CHURCH
VBS REGISTRATION
2019

Vacation Bible School
June 24 – June 27
6:30PM – 9:00PM

Fill out form below and click send

Child's Name:
Date of Birth:
Gender:Boy
Girl
Parent Info
     Name:
     Date of Birth:
     Address:
     Home Phone:
     Cell Phone:
     Work Phone:
     Email address (required):
     Re-enter email address
     for verification:
Persons authorized to
pick-up week of VBS
     Name(s):
     Phone Number(s):
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Special Information:
Medical Notes:
I Desire to Assist With:


What is 87 - twelve? (Must answer)
41
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63
47
75
96