Vacation Bible School Registration Form

9 a.m. to 11:45 a.m. – August 12-16, 2019
Children ages 3-12 are invited to attend

First St. Paul’s Lutheran Church, 3620 Nafziger Road, Wellesley

Camper Information

1. First child's name

First Name

Last Name

1. Child's current age

1. What grade will this child enter in September?

1. Please list any medical or health issues, as well as any allergies, for this child.

2. Second child's name

First Name

Last Name

2. Child's current age

2. What grade will this child enter in September?

2. Please list any medical or health issues, as well as any allergies, for this child.

3. Third child's name

First Name

Last Name

3. Child's current age

3. What grade will this child enter in September?

3. Please list any medical or health issues, as wall as any allergies, for this child.

4. Fourth child's name

First Name

Last Name

4. Child's current age

4. What grade will this child enter in September?

4. Please list any medical or health issues, as well as any allergies, for this child.

Parent/Guardian Information

Parent's name

First Name

Last Name

Parent's phone number

(###)

###

####

Parent's email address

Alternate parent/guardian's name

First Name

Last Name

Alternate parent/guardian's phone number

(###)

###

####

Alternate parent/guardian's email address

Emergency contact name(s) and phone number(s)

Please list at least one emergency contact.

Home address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

First St. Paul's Lutheran Church

First St. Paul's Lutheran Church, Wellesley, Ontario. A member of Lutheran Church Canada

First St. Paul's Lutheran Church

First St. Paul's Lutheran Church

VBS Registration

First St. Paul's Lutheran Church

Vacation Bible School Registration Form

First St. Paul's Lutheran Church

Church events calendar

Regular Schedule (Sep - Jun)