OFEP - Vacation Bible School Registration
Sts. Peter & Paul Syriac Orthodox Church, Southfield, Michigan
2019 Super Hero Vacation Bible School Registration
Email address *
2019 Super Hero Vacation Bible School Registration
PLEASE USE A SEPARATE FORM FOR EACH CHILD.

(Child must be going to kindergarten in the fall in order to participate)

Complete this form and select Submit at the bottom

Child Info
Child’s LAST Name *
Your answer
Child’s FIRST Name *
Your answer
Gender *
Date of birth *
MM
/
DD
/
YYYY
What grade will the child be entering in the fall of 2019 *
Any known allergies *
If Yes, Please explain in detail. If NONE, type N/A *
Your answer
Address
Street *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
T-Shirt size *
Parent's Info
Mother's Name FIRST and LAST *
Your answer
Mother's cellphone *
Your answer
Additional email
Your answer
Father's Name FIRST AND LAST *
Your answer
Father's cellphone *
Your answer
EMERGENCY CONTACT
Name of EMERGENCY CONTACT *
Your answer
Phone number of EMERGENCY CONTACT *
Your answer
Relationship of EMERGENCY CONTACT to the child *
Your answer
Acknowledgment
Please read the following statements carefully and acknowledge that you fully understand them.
1 *
Required
2 *
Required
3 *
Required
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Sts Peter & Paul Syriac Orthodox Church.