St. James Vacation Bible School 2019
Attending Child Registration Form
Child's Last Name *
Your answer
Child's First Name *
Your answer
Age *
Your answer
Gender *
Grade Completed *
Home Church
Your answer
Allergies *
Required
Medical Issues/Special Needs
Your answer
Parent/Guardian *
Your answer
Street Address *
Your answer
City, State *
Your answer
Zip Code
Your answer
Email Address - for use by St. James only
Your answer
Phone Number *
Your answer
Emergency Contact (and Relationship to Child) *
Your answer
Emergency Phone *
Your answer
I have multiple children attending St. James VBS *
I have read and agree to the provided Medical Release, Expectations, and Permission to Attend documentation provided by St. James. *
I have read the Photo Release documentation provided by St. James and *DO/DO NOT* agree to its terms. *
I AM/AM NOT interested in helping with VBS, and St. James may contact me via EMAIL/PHONE *
Required
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