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
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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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