St. Paul’s Episcopal Church Vacation Bible School

July 18th – 22nd

K3 (completed)- Grade 5 9:00 a.m.-12:00 noon

Participant Sign-up

Name:______________________________________ Birthdate _______________

Age _______ Grade (Completed) _________ T-shirt Size (circle one): Child’s: S M L XL Adult: S M L

Parent’s Name _______________________________________________________

Address ______________________________________________________________

Home phone _________________ Work _______________ Cell _______________

Email address_________________________________________________________

Name(s) of person(s) who make pick this child up from VBS.:

_______________________________________________________________________

Emergency Contact_____________________________ Phone_______________

Allergy/Health Information___________________________________________

My child has my permission to attend and participate in the

St. Paul’s Vacation Bible School Program.

Parent’s Signature__________________________________ Date____________

PLEASE BRING OR MAIL COMPLETED FORM AND $15 REGISTRATION.

I am interested in volunteering to help with VBS. Please contact me.