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Shipwrecked Island VBS
FREE VACATION BIBLE SCHOOL REGISTRATION
REGISTER FOR FREE VACATION BIBLE SCHOOL AT ST. TRINITY SATURDAY AND SUNDAY JULY 7th AND 8th FOR CHILDREN AGE 3 (Bathroom Independent) THROUGH JUST HAVING FINISHED 5TH GRADE.
Child #1 Name and Age *
Your answer
Child #1 Birthdate *
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Child #1 Grade Last Completed in School *
Child #2 Name and Age
Your answer
Child #2 Birthdate
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DD
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YYYY
Child #2 Date Last Completed in School
Child #3 Name and Age
Your answer
Child #3 Birthdate
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DD
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YYYY
Child #3 Grade Last Completed in School
Parent or Guardian Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
ZIP *
Your answer
Care Giver Best Contact Phone # *
Your answer
Secondary Contact Phone # *
Your answer
Email Address (we would like to keep you up to date on what is happening at St. Trinity).
Your answer
Allergies or Other Medical Conditions or Restricted Foods
Your answer
In Case of Emergency Contact *
Your answer
Emergency Phone # *
Your answer
Relationship to Child *
Your answer
We like to share photos and stories of what is happening at VBS and at St. Trinity on FaceBook and other social media sites. Do we have permission to share your child's picture (we don't include last names)? *
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