2024 VBS REGISTRATION FORM
Event Timing: Everyday, July 22 - July 26 - 9am to 12pm for ages 4-12 years old
Event Address: St. Paul's Bible Church 1960 W. 94th St., Chicago, IL 60643
Contact us at (773) 238-4368 or vbs@stpaulsbiblechurch.org
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Child's Name (You can register more children below) *
Parent/Guardian Name *
Address (Street, City, Zip Code) *
Email *
Cell Phone *
Home Phone
Work Phone
Child's Age (as of July 22, 2024) *
Medical information we need to know (please include any food allergies) *
Emergency Contact (name and number) *
Emergency Contact #2 (name and number)
Who may pick up your child at the end of each VBS day? *
How did you hear about VBS? *
Do you attend church? If so where? *
Register a 2nd Child (name, age, medical information)
Register a 3rd Child (name, age, medical information)
Register a 4th Child (name, age, medical information)
Register a 5th Child (name, age, medical information)
Medical & Media Release:
By submitting this registration form, I release St. Paul’s Bible Church, its staff, employees, officers and volunteers from any and all liability in the event of injury, illness, or incident while participating in VBS.  I give the staff and volunteers at St. Paul's Bible Church permission to seek medical treatment for my child in the event of an emergency when I cannot be reached.  I also agree to allow St. Paul's Bible Church to use my child's photo (without name) in their public media, including the website.
Medical & Media Release: *
Required
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