St. George Vacation Church School
Registration Form
July 13 – July 17, 9 am – 12 pm
Child’s Information
Child’s Name____________________________________Sex______Grade________
Address______________________________________________________________
______________________________________________________________
Phone______________________________
Allergies / Special Needs_________________________________________________
_____________________________________________________________________
Child’s Parent / Guardian #1_______________________________________________
Home Phone_______________Work Phone______________Cell_________________
Child’s Parent / Guardian #2_______________________________________________
Home Phone_______________Work Phone______________Cell_________________
Emergency Transport Information
Please sign below to give St. George permission to transport your child in the event of an emergency.
I Give St. George permission to have my child________________________ transported to (Hospital, Clinic)_________________________ for emergency medical care.
Parent / Guardian’s Signature________________________________Date__________
People Authorized to pick-up from VCS
Please list below the people authorized to pick-up your child from VCS.
Name_____________________________________Phone Number________________
Name_____________________________________Phone Number________________
Volunteer’s Needed
I would like to help with VCS by:_____________________________________________
(Decorating, teaching, helping the week of VCS, food donations, etc…)
T-Shirt Order Information
VCS participants will receive a free T-shirt. Please fill out your child’s size info below.
YS_______YM_______YL_______AS_______AM_______AL_______AXL_______
