2017 VBS Signup Form
St. Paul’s Episcopal Church
2017 Vacation Bible School Child Registration
August 7th-11th, 2017 from 6:00-8:00 pm

St. Paul’s Episcopal Church
218 W. Ottawa St.
Lansing, MI 48933
https://stpaulslansing.org/

Child's Name
Your answer
Age
Your answer
School grade in September 2017
Your answer
TShirt Size
Your answer
Home Parish
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Contact Information
Parent/Guardian Name
Your answer
Parent/Guardian Phone Number
Your answer
Home Address
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Email Address
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Emergency Contact
Persons to be contacted in case of emergency and the parent cannot be reached
Your answer
Emergency Contact Phone Number
Your answer
Additional Pickup Persons
People who have permission to pick up the attendee from VBS.
Your answer
Permission to Participate
I give permission for my child to participate in Vacation Bible School from June 19-23, 2017 at St. Paul’s Episcopal Church, 218 West Ottawa Street, Lansing Michigan 48933.
My child may participate in:
If activities are restricted, please denote which types of activites your child may not participate in.
Your answer
My child is allergic to the following:
Your answer
Health, behavioral, or developmental conditions that VBS staff should be aware of:
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Please retype parent or guardian's full name as acknoledgement that the above form is answered to the best of your knowledge.
Your answer
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