St. Philip's Vacation Church School 2019 Registration

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Vacation Church School will be held July 29-August 2, 2019 from 9:00 am-noon for children ages 4 through grade 8. The theme this year will be "Miracles Happen". Please fill out the following form in order to complete your registration. We look forward to you joining us!

Child's First Name *

Child's Last Name *

Grade Child is Entering *

Street Address

City

State

Zip code

Parent Name(s) *

Parent Phone Number *

Parent Email *

Emergency Contact Name *

Emergency Contact Phone Number *

Please list the names of individuals (other than a parent) who are authorized to pick up your child

Any allergies or other concerns (food allergies, medical or behavioral concerns, etc.)

T-shirt Size *

Would you like to be added to the church's event mailing list?

Yes

Clear selection

I have read the waiver and accept it. (Waiver can be found here: https://drive.google.com/open?id=0B67bvv3kNUhCenBlNUR3am9nczg ) *

I accept

Required

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