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St. Stephen VBS Registration 2019

Registrant's Name *
Registrant's Name
Phone *
Phone
Name of contact other than registrant in case of emergency.
Emergency Phone *
Emergency Phone
Please contact me about volunteer opportunities for VBS
Section
Family Member 1 *
Family Member 1
List all family members who will attend (including registrant if applicable)
Enter grade school information or "adult"
Select
Family Member 2
Family Member 2
Select
Family Member 3
Family Member 3
Select
Family Member 4
Family Member 4
Select
Family Member 5
Family Member 5
Select
Family Member 6
Family Member 6
Select
List any allergies, food allergies, health notes or concerns that staff should be aware of. (for each person attending)