2022 VBS Registration Form

Make Waves! What You Do Today Can Change the World Around You

- Join us for the 2022 St. Paul's VBS- Make Waves!

- Ages: 4 years old (by June 20th) - finished 4th grade

- June 20-24th, 9:00am-11:30am

- Cost: FREE!

- There will be a Water Day! (Exact day TBD, dependant on weather. More info will be provided
prior to VBS start date)

- Closing Day will end with a Party! 11:30am-12:30pm (Hot dogs, chips and drinks will be
provided)

Parent's Name

This address will receive a confirmation email

Phone

Emergency Contact (If you can't be reached): Name, Number, & Relationship to child

Please list those (Name & Number) who are permitted to pick up your child(ren)

Child #1's First and Last Name

Child #1's Age/Grade Completed

Child #1: Allergies/Dietary Restrictions/Special Accommodations Needed

Child #2's First and Last Name

Child #2's Age/Grade Completed (Please mark N/A if you're not registering a 2nd child)

Child #2: Allergies/Dietary Restrictions/Special Accommodations (Please mark N/A if you're not registering a 2nd child)

Child #3 First and Last Name

Child #3's Age/Grade Completed (Please mark N/A if you're not registering a 3rd child)

Child #3: Allergies/Dietary Restrictions/Special Accommodations (Please mark N/A if you're not registering a 3rd child)

Additional Children's First and Last Names and Age/Grade Completed (Please mark N/A if you're not registering additional children)

Allergies/Dietary Restrictions or Special Accommodations for additional children (Please mark N/A if you're not registering additional children)

Photo Release

I give permission to St. Paul's EPC to photograph my child(ren) during the week of VBS for promotional purposes and for a slideshow at the end of the week. I understand that no royalty, fee or other compensation shall become payable to me or my child(ren) by reason of such use.

Yes, I do give permission No, I do not give permission

Electronic Signature (By typing your name, you verify this to be your electronic signature)

Date

WE'D LOVE MORE HANDS ON DECK!!!

Please consider volunteering if you can, to make this summer's VBS one for the kids to remember!

2022 VBS Registration Form

Description

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