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Registration

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Vacation Bible School

August 12 - August 16, 2019 — 9:00 AM - 12:00 PM

Come join the adventure on an uncharted island, where little castaways will survive & thrive as they learn through Bible stories, songs, crafts, games & SNACKS, that they can be anchored in the truth that Jesus carries them through life’s storms.

Registration is $45 per child and a $5 late fee will be added after July 26, 2019. Registration is LIMITED. Once registration closes no one will be accepted due to maximum capacity.

Registration not valid unless payment is complete. please ensure to complete both the registration page and the payment page.

Certified teachers and nurse on staff
VBS Registration
The maximum number of form submissions has been reached. This form is currently not available.
- Child's Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  T-shirt Size REQUIRED Please fill out this field.
  
  Grade in September 2019 REQUIRED Please fill out this field.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
- Family Information
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Parent/Guardian's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone number during VBS: REQUIRED Please fill out this field. Please enter a phone number.
  
  Second Phone Number Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Church/Parish REQUIRED Please fill out this field. Please enter valid data.
- Emergency Contact
  
  Emergency Contact Name: REQUIRED Please fill out this field. Please enter valid data.
  
  Emergency Contact Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Names of person(s) authorized to pick-up child: REQUIRED Please fill out this field. Please enter valid data.
- Medical Information
  
  Doctor's Name: REQUIRED Please fill out this field. Please enter valid data.
  
  Doctor's Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Allergies, medical concerns, learning needs & special instructions: REQUIRED Please fill out this field.
- Terms & Conditions
  
  By submitting this form, I give my permission to the staff to seek medical attention for my child if necessary while participating in all Vacation Bible School activities. I understand that all necessary precautions will be taken to ensure my child’s safety. I will not hold the church, its staff or those supervising liable. I give permission for my child to be photographed or videoed for any lawful purpose associated with this VBS and the Church of Saint Augustine.
- Payment
  
  Registration$45.0
Total: $

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Registration

Vacation Bible School

August 12 - August 16, 2019 — 9:00 AM - 12:00 PM

Certified teachers and nurse on staff