​St. Paul's Lutheran Church
​246 St. Paul's Church Road
Gilbert, SC 29054
VBS Registration for "Green Eggs and God"
VBS July 5-9 2015 dinner 5:30p VBS classes 6-8p
Registration Form
Child’s Name _____________________________________________________________________________________
Parent/Guardian Name ___________________________________________________________________________
Gender______________________Date of birth______________________Age_______________________________
Grade completed 2014-2015 school year_________________________________________________________
Address___________________________________________________________________________________________
City__________________________________________State_________________Zip code______________________
Phone Number __________________________________ Cell number___________________________________
Allergies_________________________________________________________________________________________
Medications _____________________________________________________________________________________
Medical conditions/restrictions__________________________________________________________________
Emergency contact name________________________________________________________________________
Emergency contact phone number______________________________________________________________
Relationship to Emergency contact______________________________________________________________
Siblings at VBS___________________________________________________________________________________
People who may pick up my child________________________________________________________________
___________________________________________________________________________________________________
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(for VBS use)
Child's class assignment__________________________________________________________________________
Permission to photocopy this page for use with the Workshop of Wonders VBS is granted for local church use. Copyright © 2013 Abingdon Press. All rights reserved.