Clone of 2025 Egypt VBS Registration Form

2026 Tropical Trek VBS Registration

St. Paul Lutheran Church - 21 Still Road, Monroe, NY
Parent/Guardian Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
EMERGENCY PICKUP Name

Emergency Pickup First NameEmergency Pickup Last Name
EMERGENCY PICKUP Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
List below the FULL NAMES of EACH CHILD you are signing up for VBS as well as their BIRTHDATE, and their COMPLETED GRADE in school
List below ALL ALLERGIES and or MEDICAL CONDITIONS of the children you listed above
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 by me
I give permission for St. Paul Lutheran Church to post pictures on social media (Facebook, Instagram, X, Threads, Youtube, TikTok)
I give St. Paul Lutheran Church permission to copyright and use photographs/videos of my child(ren) for St. Paul Lutheran Church and local publications lawful use
Would you like to learn more about St. Paul Lutheran Church?
Would you like to learn more about our Christian Education Center/School?
If applicable, what is the name of your current family church?
Would you like to donate to St. Paul Lutheran Church via Venmo?
Want to follow St. Paul Lutheran Church on social media?
Want to follow our Christian Education Center on social media?
Parent/Guardian Signature
Date of Form Completion

MonthDayYear
Form Completion Date
Please verify that you are human
Should be Empty:

2026 Tropical Trek VBS Registration