St. Peter's VBS 2017 Registration
June 19-22 @ St. Peter's Anglican Church
Email address
Cost: Free!
*A registration form must be submitted for EACH child
Child's Name
Your answer
Child's Date of Birth
MM
/
DD
/
YYYY
Child's Last Grade Completed at the time of VBS
Allergies or Medication
Your answer
Parent/Guardian's Name
Your answer
Address
Your answer
Email Address
Your answer
Cell Phone
Your answer
Home Phone
Your answer
Church of Membership (if any)
Your answer
Emergency Contact Name
Your answer
Emergency Contact Phone
Your answer
Dismissal Info: Name of all person(s) who you approve to pick up this child from VBS
Your answer
Please complete the captcha before submitting the form.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms