Epiphany Episcopal Church: Vacation Bible School 2018
Registration for Shipwrecked Vacation Bible School -- July 20-22, 2018
Open to 3 year olds (potty-trained) - 6th graders

Friday: 5:30 - 7:30pm (Family Dinner, Opening Assembly, and a Family Craft)
Saturday: 9am - 1:30pm (drop-off for stations and lunch)
Sunday: 10:00am Family Worship followed by lunch

please contact Dana Hale with questions: family@epiphanyec.org

Child's First Name *
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Child's Last Name *
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Child's nickname, if applicable
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Home Address *
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Mother's (or Guardian) Name *
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Mother's (or Guardian) Phone *
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Mother's (or Guardian) Email *
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Father's (or Guardian) Name *
Your answer
Father's (or Guardian) Phone *
Your answer
Father's (or Guardian) Email *
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Child's Birthday (MM/DD/YYYY) *
MM
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DD
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Grade in school (for Fall 2018) *
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Additional information (please include food or other allergies and medical conditions we should be aware of)
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I would like to register another child *
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