St. Paul Lutheran Church - Hamburg, MI VBS 2017 Registration Form
At Mighty Fortress VBS, children celebrate Jesus our Savior King, who conquers our fears and delivers us. So raise your banner! Hold it high! Shout it loud. His Kingdom endures forever!

July 24-28, 2017 - 9am to 12pm

Child's First Name
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Child's Last Name
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Child's Birth Date
mm/dd/yyyy (3 year-olds can register, but we want someone to be on site at least the first day to make sure the child can handle the separation. If they can handle it without meltdowns, we are fine as long as we have a way to get ahold of the parent if need be. No diapers unless an adult will be on site to deal with that. The child would have to be 3 by December 1, 2016).
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Grade Entering
Home Address
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City
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State
Zip Code (5 digit)
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Mother/guardian name
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Father/guardian name
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Primary Phone #
Formatted ##########, without hyphens.
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Alternate Phone #
Formatted ##########, without hyphens.
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Email Address
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Emergency Contact Name
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Emergency Contact Phone #
Formatted ##########, without hyphens.
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Home Church
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Baptized?
Allergies or other medical needs
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Additional Information
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