Vacation Bible School 2024 Registration (for ages 3-5)

IF YOU ARE TRYING TO REGISTER A CHILD ENTERING FIRST GRADE OR OLDER, PLEASE CLICK HERE FOR THE ELEMENTARY REGISTRATION.

Child Last Name

Child First Name

Please Note: You must be the child's parent or legal guardian to complete their registration online. (If you are not parent/legal guardian you may register by submitting a paper form.)

Your relationship to child

Parent Guardian

Child Birth Date

Grade in the fall

Pre-3 Pre-4 Kindergarten

Attends St. Paul ECC or School?

Yes No

Parent/Guardian Name

This address will receive a confirmation email

Phone

Address

Child Allergies

Primary Emergency Contact:

Name:

Phone Number

Relationship to child:

Secondary Emergency Contact:

Name:

Phone Number

Relationship to child:

Other Information:

The following person has permission to pick up my child:

Name:

Phone

Relationship to child:

I am interested in information about: St. Paul Lutheran Church St. Paul School - Early Childhood Center St. Paul School - Elementary - Kindergarten to Grade 5 Having my child(ren) baptized at St. Paul Lutheran Church

I would like to: Donate snacks or supplies Help during VBS

Optional Donation. Please accept a VBS Ministry Donation to offset expenses:

Policy on Photography and Photo Release

Registrants of the St. Paul Lutheran Church Vacation Bible School agree to allow St. Paul Lutheran Church and its official photographer and/or videographer to photograph or videotape them in the context of the Vacation Bible School setting(s). Footage captured by the official St. Paul Lutheran Church photographer/videographer may be used without remuneration in future print and electronic promotional and archival materials. Participation in the event signifies assent and supersedes any prior photo permissions/agreements with St. Paul Lutheran Church or School.

Agreement to Conduct a Transaction by Electronic Means

By selecting the "I Accept" button, you are agreeing to sign and deliver this form electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this form. You further agree that your typing your name onto the signature line of this form constitutes your signature (hereinafter referred to as "E-Signature") as if actually signed by you in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature or any resulting contract between you and us. You also represent that you are authorized to sign this form for the puposes described in it.

Confirm:

I Accept the Conditions

Signature

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Vacation Bible School 2024 Registration (for ages 3-5)

Description

Please Fix the Following