VBS 2023 Registration Form

Join us for the 2023 St. Paul's VBS- Ready, Set, Move!

- Ages: 4 years old (by June 19th) - finished 4th grade

- June 19-23th, 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

Address

Emergency contact (incase you cannot be reached): Name, number and relationship to child

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

Child #1's First and Last Name:

Child #1's Age/Grade Completed

Child #2's First and Last Name

Child #2's Age/Grade Completed

Child #3's First and Last Name

Child #3's Age/Grade Completed

Child #4's First and Last Name

Child #4's Age/Grade Completed

Any additional Children you are registering. Please include their first and last name and the age or grade they just completed.

Please list any allergies, dietary restrings, or other special needs your child(ren) may have:

Photography 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.

I give permission I do not give permission

Please sign here: (By typing your name below, you verify this to be your electronic signature)

Date

WE WOULD LOVE MORE HANDS ON DECK!!!

VBS 2023 Registration Form

Description

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