Prince of Peace Vacation Bible School Registration 2018
Please complete the following online registration form to register your child for our "Shipwrecked" Bible School adventure! (Please fill out one form per child)
Prince of Peace VBS July 30 - Aug.3 from 5:30-8:30pm
Prince of Peace VBS July
Name: *
Your answer
Address______, City___________, State_________, Zip Code ______________ *
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Home Phone Number: *
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Cell Phone Number: *
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Child's Date of Birth *
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Child's Current Age *
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Last Grade Completed in School *
Parent email address: *
Your answer
Child's Shirt Size *
In case of emergency, please contact the following: (Name, Phone #) *
Your answer
Allergies/Medical Conditions:
Your answer
I would be willing to help during VBS in the following areas (Parents of 3 yrs old participants are asked to volunteer):
Do you have a home church?
Prince of Peace has permission to use my child's photo as part of the church's online web and print publications regarding VBS. *
Registration Deadlines and Fees: $15/child (maximum $25/family) on or before July 16th $20/child (maximum $30/family) after July 16th (Scholarships Available) *
Early Learning Center Children ONLY: If you child attends the center, the staff of the CELC will bring your child from the center to the church for bible school. If you are interested in taking advantage of this, please list YOUR CHILD'S NAME AND YOUR NAME below. (Your name will serve as a signature for permission for the CELC staff to bring your child to the church during VBS week.)
Your answer
5th/6th Students ONLY: Permission Slip - __________ has my permission to participate in the Prince of Peace Lutheran Church’s VBS activities from June 26-30, 2017. All activities are sponsored by and are under adult supervision provided by Prince of Peace Lutheran Church, St. Joseph, Illinois. I have provided emergency phone numbers on my child’s registration form and agree not to hold Prince of Peace liable should my child have any type of accident during VBS activities. PLEASE TYPE CHILD AND PARENT'S NAME IN THE BOX BELOW TO GIVE PERMISSION FOR YOUR CHILD TO PARTICIPATE.
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