St. Paul Lutheran Church - Hamburg, MI VBS 2018 Registration Form
At Splash Canyon VBS, your children learn God keeps His promises on life’s wild ride! They’ll look into the Bible, God’s Holy Word, and explore five Bible accounts where our faithful God keeps His promises to be with us and gives us life and hope through Jesus, our Savior.

July 23-27, 2018 - 9am to 12pm

Email address *
Child's First Name *
Your answer
Child's Last Name *
Your answer
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, 2018).
Your answer
Grade Entering *
Home Address *
Your answer
City *
Your answer
State *
Zip Code (5 digit) *
Your answer
Mother/guardian name
Your answer
Father/guardian name
Your answer
Primary Phone # *
Formatted ##########, without hyphens.
Your answer
Alternate Phone #
Formatted ##########, without hyphens.
Your answer
Email Address
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone # *
Formatted ##########, without hyphens.
Your answer
Home Church
Your answer
Baptized? *
Allergies or other medical needs
Your answer
Additional Information
Your answer
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