St. Paul's VBS Registration 2019
Join us July 29 - August 2nd at St. Paul's Church of the Nazarene for SHIPWRECKED! fun at Vacation Bible School! This FREE event is open children age 4 - 5th grade. We will meet each evening from 6pm- 8pm. Students will be checked in the foyer and start off in the sanctuary for music and a skit. Age groups will rotate between different stations: Story Time, Imagination Station and Games as well as a short video and snack time. We will end each night together in the Sanctuary with a few songs! Parents are welcome to join us in the Sanctuary at the beginning and end of our program to join in the fun! If you have any questions, please email office@stpaulsduxbury.org and a member of our team will reach out to you! Thank you for trusting us to care for & teach your child about Jesus!
Child's First Name *
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Child's Last Name *
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Grade Entering in Fall 2019 *
Date of Birth *
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Parent/Guardian Name *
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Home Address *
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Home Phone *
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Cell Phone *
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Work Phone
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Email Address *
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Dismissal: Who may pick your child up at the end of each evening? We will only release your child to the names listed here: *
Your answer
Do you have a home church? If so, where? *
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May we photograph your child for the closing video highlight and also promotional purposes? (Children's names will not be used) *
What allergies does your child have? *
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Does your child have any activity restrictions? *
If there is an emergency, and a parent or guardian cannot be reached, who may we contact? Please provide name and phone number. *
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Liability Release: As the parent or legal guardian of the child I am registering, I authorize the leadership of St. Paul’s Church of the Nazarene to care for the administration of the first aid treatment for any minor injuries my child receives during the event. If the injury sustained is life threatening, or needs emergency treatment, I authorize said leadership to summon any emergency personnel to attend, transport, and treat my child. I agree to hold any staff,assistants, and volunteer workers harmless from all claims, suits, costs, and actions of any kind whatsoever, arising from their exercise of power granted by this authorization. Please type your name in the box to indicate your agreement to the liability release. *
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