St. Philip's Vacation Church School 2019 Registration
Vacation Church School will be held July 29-August 2, 2019 from 9:00 am-noon for children ages 4 through grade 8. The theme this year will be "Miracles Happen". Please fill out the following form in order to complete your registration. We look forward to you joining us!
Child's First Name *
Your answer
Child's Last Name *
Your answer
Grade Child is Entering *
Street Address
Your answer
City
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State
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Zip code
Your answer
Parent Name(s) *
Your answer
Parent Phone Number *
Your answer
Parent Email *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Please list the names of individuals (other than a parent) who are authorized to pick up your child
Your answer
Any allergies or other concerns (food allergies, medical or behavioral concerns, etc.)
Your answer
T-shirt Size *
Would you like to be added to the church's event mailing list?
I have read the waiver and accept it. (Waiver can be found here: https://drive.google.com/open?id=0B67bvv3kNUhCenBlNUR3am9nczg ) *
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