Vacation Bible School 2014
Please fill out all questions on the registration form to register your child for St. Paul's Vacation Bible School, Dallas, PA.


Dates:  Sunday July 28th- Thursday August 1st 2013

Time: 5:30 to 8:00pm
(Dinner from 5:30-6pm; Family covered dish on Sunday, dinners provided for children and volunteers other evenings.)

Ages: 3-11 years old AND Adult Study (children older than 12 years can be helpers)

Cost: Free for all participants

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Child's Name *
Child's Age *
Child's Grade *
Address *
Parent/Guardian Name *
Parent/ Guardian Phone Number *
Parent/ Guardian Email Address *
Name of Emergency Contact *
Emergency Contact Phone Number *
Emergency Contact #2 *
Emergency Contact #2 Phone Number *
Please List Any Allergies *
Please list any medications that child will need to take during camp. *
List any condition the VBS staff should be aware of to offer a safe environment *
Would you like to volunteer? *
Required
If yes, what days are you available?
Name of volunteer
Volunteer's email address
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