Vacation Bible School WAIT LIST
*WAIT LIST REGISTRATION*

Vacation Bible School at St Paul is currently filled to capacity. If you'd like to be on the wait list, please register with this form. As spots become available in order of registrants, we will notify you. We absolutely try out best to fit everyone, but our safety/capacity determine this. Thank you for understanding. Please direct any questions to vbs@stpaulboca.com.

Shipwrecked Vacation Bible School

St Paul Lutheran Church
701 W Palmetto Park Rd
Boca Raton, FL

When: June 11-15, 2018

Time: 9am-12pm

Where: St. Paul Lutheran Church and School

Who: Children ages 3-5th Grade (2018-2019 school year. Children must be three by March 2017 and fully potty trained)

Cost: $10 per child
Registration includes t-shirt, cd, crafts and snacks!
Please make a paypal payment online at stpaulboca.com/vbs or send/drop off payments to St Paul Lutheran Church office. Cash or checks made out to St Paul Lutheran, memo VBS.

*You will be contacted as soon as we know if we have space*

Child's Information
***Please READ CAREFULLY concerning your child's AGE and GRADE***
Child's First Name *
Your answer
Child's Last Name *
Your answer
Child's Gender *
Birthdate *
MM
/
DD
/
YYYY
Grade Entering *
What grade will your child be ENTERING for the 2018-2019 school year? Children must be 3 by March 2018 and potty trained to attend VBS.
Shirt & CD
VBS at St Paul includes a t-shirt and music CD. The registration cost per child is $10 and will include the shirt and CD. You can choose shirt size below and also select if you would like a CD, so we know how many to order in advance. We ask you to pay at the time of registration using the PayPal link on the VBS website stpaulboca.com/vbs -or- submit payment to the church office. Cash or checks, checks made out TO St Paul Lutheran Church & School, memo VBS.
T-Shirt Size *
Would you like a music CD of the weeks songs? *
Parent/Gaurdian Information
First and Last Name *
Your answer
Phone Number *
With Area Code
Your answer
Email *
Your answer
Street Address *
Your answer
City *
Your answer
Zip code *
Your answer
Home Church *
Where do you most frequently attend worship?
Required
If you listed other as your home church please list your church below.
Your answer
How did you hear about St Paul's VBS? *
Required
Friends
You may request a sibling or friend for your child to be with during the week. We try our best but CANNOT guarantee all requests, please understand this as you register for VBS.

Children will be grouped by age levels. Children entering PreK3 through entering Kindergarten will be grouped together. Children entering 1st grade and up will be in separate grade groups. Please note this when making requests. This is the best way for children to remain engaged in age-appropriate rooms and activities. PLEASE REMEMBER: We want your child to have the best experience and CANNOT guarantee all requests.

Friends
Your answer
Will your child be attending all week? *
If not, please check which days, they will be attending.
Required
St Paul Summer Camp *
Is your child registered for Summer Camp at St Paul during the week of June 11-15th? If they are registered in St Paul's summer camp VBS week, you DO NOT need to complete this registration.
Other Emergency Contact Information
We will first contact parent(s) using the information above. If we are unable to reach anyone, we will contact the person listed below.
Emergency Contact Name *
Your answer
Relation to child *
Your answer
Contact Number *
Please include the area code.
Your answer
Does your child have any allergies? *
If you answered yes to the previous question please list all allergies
Your answer
Will your child need to bring medicine to VBS? *
If so, all medication must be in its original packaging with the child's names and usage instructions and be turned in to an adult leader each day.
If you answered yes to the previous question please explain.
Your answer
Release Information
Authorized Pick-Up *
Please list the name(s) of the individuals who are authorized to pick your child up from VBS. At pick-up time, your child will only be allowed to leave with one of these people. For safety precautions, we will also ask all adults to present their ID at pick-up.
Your answer
Media Release *
I give permission for my child's picture to be used in any church related publicity at St Paul Lutheran Church & School
Medical Consent - Parent/Guardian Signature *
I do hereby give my permission and consent to the personnel of St. Paul Lutheran Church to authorize and obtain such emergency or urgent medical care or treatment as St. Paul Lutheran Church personnel determine my child might require or need while under the supervision of St. Paul Lutheran Church personnel. I also agree to pay all costs and fees related to all such emergency or urgent medical care or treatment.
Please double check your child's age/grade in this registration before submitting. *
Required
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