VBS Registration 2017. Sunday, July 23 through Thursday, July 27. 6:00-8:00 pm

  
We are excited that you will be joining us for VBS at St. Matthew's. Thank you for taking the time to fill out the registration form. If you have any additional questions, please contact us at 608-457-2711. God bless your day!
Parent(s) - Name(s):
Street Address:
City:
Home Phone:
Emergency Contact:
Child 1 - Name:
Child 1 - Grade Entering:
Child 2 - Name:
Child 2 - Grade Entering:
Child 3 - Name:
Child 3 - Grade Entering:
Child 4 - Name:
Child 4 - Grade Entering:
Child 5 - Name:
Child 5 - Grade Entering:
Child Care provided for under 4 years of age - Child's name or names
Does your child have any allergies or medical conditions that we should be aware of? If so, please briefly explain them here:


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