Register for St. Paul Vacation Bible School July 24-27th, 9 am - Noon
This year’s theme, Rome: Paul and the Underground Church, will include mingling through a Roman Marketplace, tiptoeing past Roman guards to pray with 1st century Christians and learning with the Apostle Paul. There will be Roman crafts, food from the culture, games and dramas to act out the Bible Stories.

Cost: Payable online after filling out form or a check by mail
1 Child - $35
Family -$65

Family Name
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Parent(s) Name(s)
Carol & Mike Brady
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Address
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City
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Email Address
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Cell Phone Number
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Home Church
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Child #1 Name
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Child #1 Birthdate
4/01/2008
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Child #1 Grade Fall 2016
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Child #2 Name
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Child #2 Grade Fall 2016
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Child #2 Birthdate
4/01/2008
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Child #3 Name
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Child #3 Birthdate
4/01/2008
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Child #3 Grade Fall 2016
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Allergies/Medical Restrictions
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Emergency Information - Name, Relation, Phone #
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Name of Insurance Company
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Liability Release
I hereby give permission for my child(ren) to participate in the Vacation Bible School program held on-site at St. Paul United Church of Christ. I further agree to release, indemnify and hold St. Paul UCC, their officers, board members, employees, volunteers or other representatives in any capacity harmless from or for any claims, causes of action, liabilities or damages that arise as a result of or in connection with my child's participation in the program. I understand that I will be notified as soon as possible in the case of any emergency that may arise with my child. Further, I give my permission for St. Paul UCC staff or leaders of the Vacation Bible School to obtain emergency medical treatment in my absence.
Photo Release
I hereby give permission for St. Paul UCC VBS staff to take pictures of my child and share them without publication of names.
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