Vocation Bible School is fast approaching! – Click here for info & registration form. July 4, 2024 by Jack Qualmann Leave a Comment 2024-VBS-PosterDownload VBS 2024 Registration Name* First Last Name* First Last Date of Birth* MM slash DD slash YYYY Please give the date of birth for the student listed above.Gender* Male Female Please specify which gender the student listed above is.Grade Entering* Please indicate which grade the student listed above will be entering in the fall. Eligible grades are from Pre-K through 6.Name First Last Date of Birth MM slash DD slash YYYY Please give the date of birth for the student listed above.Gender Male Female Please specify which gender the student listed above is.Grade Entering Please indicate which grade the student listed above will be entering in the fall. Eligible grades are from Pre-K through 6.Name First Last Date of Birth MM slash DD slash YYYY Please give the date of birth for the student listed above.Gender Male Female Please specify which gender the student listed above is.Grade Entering Please indicate which grade the student listed above will be entering in the fall. Eligible grades are from Pre-K through 6.Name First Last Date of Birth MM slash DD slash YYYY Please give the date of birth for the student listed above.Gender Male Female Please specify which gender the student listed above is.Grade Entering Please indicate which grade the student listed above will be entering in the fall. Eligible grades are from Pre-K through 6.Home Church (if other than St. Peter's) If your student is a member of another church, please specify.AllergiesMedical Issues or Special NeedsParent Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Home/Cell Phone Number*Please specify the best number for us to reach you at.Emergency Contact First Last In the event of an emergency, if we are unable to reach you, please give us another name we can contact.Emergency Contact PhoneShuttle Service Yes Will your student(s) need shuttle service either to/from St. Peter’s?On What Day(s) Will Pick Up Be Required? Select All Monday Tuesday Wednesday Thursday Friday Pick Up Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code On What Day(s) Will Drop Off Be Required? Select All Monday Tuesday Wednesday Thursday Friday Drop Off Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Parental Consent*Medical Release: I give my permission for the VBS staff to administer basic first aid to my child(ren) (named above) in the event of an injury. I understand that the VBS staff will contact emergency services in the event of a significant injury and all expenses for such emergency services will be paid by me. Photo Release: I hereby grant the above named church permission to copyright and use photographs/videos taken at VBS of the minor designated above in any manner or form for any purpose lawful at any time. I waive any right that I may have to inspect or approve the finished product or written copy, that may be used in conjunction therewith, or the use to which it may be applied. Permission to Attend: I give permission for my child (named above) to attend the Vacation Bible School (VBS) listed above. I understand that the information I give for this registration will only be used by the VBS hosting church. First Last Untitled Untitled Δ
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