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FPC Rochester 2019 VBS Registration
Monday-Friday, June 10-14, 2019
6-8 pm
Location: First Presbyterian Church, 512 3rd St SW, Rochester, MN 55902
Cost: $10/child for ages 3-grade 5, maximum $25/family; scholarships available
Questions? Contact Susanna Stone at stone.susanna@fpcrochester.org or (507) 282-1618
What VBS programming are you registering for? Check all that apply. *
Required
Please list the name(s) and grade(s) ['19-'20 school year] of those registering for VBS (please include everyone under age 18 who will be participating) *
Your answer
Are there any allergies/medical conditions/dietary restrictions for any of the children? If so, please list their name and information. *
Your answer
Parent/Guardian name(s) *
Your answer
Parent/Guardian phone number *
Your answer
Parent/Guardian email address (note: any VBS updates/changes will be sent to parents/guardians via email) *
Your answer
Emergency Contact name (other than parent/guardian) *
Your answer
Emergency Contact phone number (other than parent/guardian) *
Your answer
VBS Photo Authorization: Please check all that apply. *
Required
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