VBS 2021 Student Registration Form
St. Paul Lutheran Church, Monroe NY
Parent/Guardian Information
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Emergency Contact Info
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
Additional Questions
I would like more information about
St. Paul's Church
St. Paul Christian Education Center (school)
Current Family Church
Do your children currently attend Sunday School or CCD?
*
Yes
No
Allergies and any other medical conditions?
Child Information
Child Name
Birthdate
Grade Complete
First Child
Second Child
Third Child
I give St. Paul permission to copyright and use photographs/videos of my child for St. Paul and local publication lawful use, including on St. Paul's social media pages.
*
Yes
No
I give permission for the VBS staff to administer basic first aid to my child(ren) in the event of an injury and to contact emergency services as needed, and all expenses for such services will be paid my me.
Submit Registration
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