St. Paul's VBS Registration Form

St. Paul's Lutheran Church

Use this form to register a child for St. Paul's VBS

Vacation Bible School
Aug 18-22, 2008
9:00 am to 3:00 pm

Last Name

First Name

Current Age

Grade completed in June 2008

Parent Names

Address

City

State

Zipcode

Email address

Home Phone

Cell Phone

Emergency Contact Name and Phone #

Relationship with child

Does your child have any
allergies? (Yes/No)

If so, please explain
(255 char max)

Please provide any other
information about your child
to enhance their VBS experience:

Number attending barbeque
on Friday, including VBS child

Go back to the VBS page.

Last Name
First Name
Current Age		Grade completed in June 2008
Parent Names
Address
City
State		Zipcode
Email address
Home Phone		Cell Phone
Emergency Contact Name and Phone #
Relationship with child
Does your child have any allergies? (Yes/No)
If so, please explain (255 char max)
Please provide any other information about your child to enhance their VBS experience:
Number attending barbeque on Friday, including VBS child