Vacation Bible School Registration 2017
Join St. James Presbyterian Church for Vacation Bible School, July 16-20 from 6:00 - 8:00 p.m, with dinner for children served from 5:30 to 5:50. Please submit one form for each child attending.
Student's name
Your answer
Parent/Guardian Name
Your answer
Address
Your answer
Email address
Your answer
Phone number
Your answer
Date of Birth
MM
/
DD
/
YYYY
Last school grade completed
Your answer
T-shirt size
Allergies/Medical Information/Other
Your answer
How did you hear about Vacation Bible School?
Your answer
Emergency Contact Name
Your answer
Emergency Contact Phone number
Your answer
Emergency Contact Name
Your answer
Emergency Contact Phone number
Your answer
Name(s) of person(s) who may pick up this child from VBS
Your answer
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