2017 VBS Registration Form: Different date from last year!!!
When: July 24-28, 2017 What time: 9 am - 12 pm
Where: St Clement's Church 810 N Campbell St, El Paso, TX 79902
What ages: 4 years of age - 8th grade (Community service hours given to 6-8 graders)
Cost: $5 donation for T shirt
For more information contact Rachel Degenhart: 915-521-8052 or email at rachel@stclements.com

****IF YOU DO NOT RECEIVE A CONFIRMATION PAGE THEN IT WAS NOT SUBMITTED - PLEASE CHECK THAT EVERY REQUIRED QUESTION WAS ANSWERED (REQUIRED QUESTIONS HAVE A RED ASTRIX NEXT TO THE QUESTION)****

Name
Your answer
Address
Your answer
Telephone number
Your answer
Email address
Your answer
Parent/Guardian Name
Your answer
Cell phone / work phone number
Your answer
Child's gender
Entering Grade
For those graduated from 5th grade and older: Do you want to participate in the Community Service Hour program?
If you answer yes, you will be required to attend training sessions and you will be assigned to help with the younger students for part of each day.
FOr those volunteering only, what areas are you most interested in volunteering in.
Does your child have any medical conditions?
If so, please explain.
Your answer
DOes your child have any food allergies?
If so, please explain.
Your answer
Does your child carry:
Emergency contact
Your answer
Relationship to child
Your answer
Emergency contact information (phone numbers)
Your answer
Names of persons who may pick your child up from VBS
Your answer
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