Complete this form and click 'Send' to register a child for Vacation Bible School

Child's Name (required)

Child's age (required)

Grade just completed (required)

Parent's Name (required)

Parent's Phone Number (required)

Your Name (if not the parent)

Your Email (required)

Emergency Contact

Do we have permission to include this child in photographs (Yes or No) (required)

People Authorized to pick up your child

Allergies (if any)

Special Friends also attending St. Paul's VBS

Any additional information you would like to provide

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