St. James VBS 2017 - GROW!
Contact Katie McNeal with any questions: stjamesyafm@gmail.com or 412-508-4557
Visit us at stjamesct.org
Register for VBS and come learn about how God helps us GROW!
The program will run from Mon., July 31- Fri., Aug 4, 9a-12p at St James Lutheran Church; 111 Peter Rd; Southbury, CT
with a picnic lunch celebration Friday afternoon. Children aged 4 - entering sixth grade are welcome to this free program! Contact Katie regarding the policy for 3-year-old participants (stjamesyafm@gmail.com).

NEW This year is our Leadership Track for youth entering 7th and 8th grade! Youth will help with various parts of the program throughout the week as well as spending some time having fun and learning about leadership skills.

Child's Name
Your answer
Grade Entering in Fall 2017
Street Address
Your answer
City, State, Zip
Your answer
E-Mail
Your answer
Does this child attend a church or Sunday School?
If this child does, please list name of home church
Your answer
Days this child plans to attend
Known Allergies or Other Concerns
Your answer
Parent/Guardian's Name
Your answer
Daytime Contact Phone
Your answer
Emergency Contact and Phone Number
(must be different than number above)
Your answer
Guardian/Parent Signature
(typing your full name will serve as a signature)
Your answer
Date Signed
MM
/
DD
/
YYYY
Are you interested in volunteering with VBS?
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