VBS 2017 St Paul Lutheran Church

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REGISTRATION ST PAUL LUTHERAN VBS 2017 JUNE 18 - 23 Name_________________________________________________ DOB___________________________________________________ Age__________________ Grade Completed__________________ Address________________________________________________ City___________________________________________________ State______________________ Zip_________________________ Parent/Guardian________________________________________ ______________________________________________________ Best Contact Phone_________________________________________________

VBS 2017 St Paul Lutheran Church Age 3 – Grade 5 Adults WHEN: June 18 – 23, 2017 Light Dinner 5:15 pm Program 6 -8 pm

Email__________________________________________________ Additional Contact Name & Number ______________________________________________________ ______________________________________________________ Special Needs/Allergies (Medicine or Food) Note None, if Case___________________________________________________ ______________________________________________________ ______________________________________________________ Return Forms to Church Office - VBS Box

WHERE: St. Paul Lutheran Church 961 Trail Ridge Road Aiken, SC 29801 CONTACT: Church office (803)649-4021

(under the age 18), or vulnerable adults in any public publication, including social media, require written permission of the parent or guardian of that individual. Without written permission, such individual will be excluded from any pictures for public publication. Required form to allow or waive must accompany VBS Registration.