On-Line Registration for St. Paul United Methodist Church Vacation Bible School

Name of Child:
Age of Child:
Grade of Child in School:
Name of Parent or Legal Guardian:
Mailing Address:
City: State: Zip:
Daytime Phone Number: Evening Phone:
E-mail Address:
In the event of an emergency, please provide the name and phone number of the person we should contact:

Will any siblings also be attending? Yes No Please list their names and ages below:

Please provide any detials we may need to know about any of the above children. (allergies, fears, etc.)

In order for your child to participate, you must agree to the following waiver: I, the parent/legal guardian of the above child, agree to not hold Saint Paul United Methodist Church or its Vacation Bible School volunteers and staff responsible or liable for any loss or injury to myself (if attending) or my child.

I agree

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