2019 St.James VBS Sign Up
August 19th - 23rd
Runs from: 9:00 - 11:30 am
For Children ages 4 - 10
Theme: Camp Moose On The Loose
Sign up a MAXIMUM of 4 children
Email address *
1st Child's Name *
First, Last
Your answer
Age *
Your answer
2nd Child's Name
First, Last
Your answer
Age
Your answer
3rd Child's Name
First, Last
Your answer
Age
Your answer
4th Child's Name
First, Last
Your answer
Age
Your answer
Full Name of Parent/Guardian *
Your answer
Street Address *
Your answer
City *
Your answer
Postal Code *
Your answer
Telephone Number *
Provide a number you can be contacted at while your child is at VBS
Your answer
Emergency Contact Name *
Someone we can contact if we cannot reach parent/guardian
Your answer
Relationship to the child *
Your answer
Telephone Number of Emergency Contact *
Your answer
Does your child have any allergies or other medical conditions that we should be aware of? *
If you answered yes to the previous question, please explain
Please Identify which child
Your answer
Does your child want to be in a group with another child attending VBS? We will try our best to accommodate all requests.
Your answer
Any additional information
Your answer
Submit
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