St. Paul's Lutheran Church

Vacation Bible School
Advance Enrolment Form

August 17-21, 2009
6:30 to 8:45 PM

27 Mill Street, Elmira, Ontario N3B 2K3
Phone: (519) 669-2593 ~ Email: stpauls@golden.net



Name of Parents:
Address:
Phone Number:

Alternate Phone Number:
Email:
Home Church:

Do your children attend Sunday School?


Children to be Enrolled (Ages 3 - 14):
(Children must be toilet trained)

Name of Child
Age
Date of Birth
Grade Completed

Do your children have any medical conditions or allergies
of which we should be aware? Also, if you have any other
concerns, questions or comments, please share them here:




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