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Please Join Our
Sponsored by:
Gloria Dei, St. Andrew & Zion Lutheran Churches

FREE & Open to ALL children entering PRE-K to 5th
JULY 17th -21st
5:30pm -8:00pm

(includes dinner for your child at 5:30pm)
At St. Andrew Lutheran Church
1125 Stafford Ave, Bristol, CT 06010
Please fill out the following form to register for Vacation Bible School
(For more information, please contact the St. Andrew Church office)
Parent / Guardian Name:
Phone Number:
Address (Street, City, State):
Emergency Contact Info (Name, Phone, Address):
Is another adult authorized to pick up your child?:
If yes, type name:
How did you hear about VBS?:

Child(ren)'s Name(s) Grade entering this fall T-Shirt size Allergies / Other Needs
I     (select one) permission to Glorei Dei, St. Andrew, and Zion Lutheran Churches of Bristol, CT to use the image of my child/ren in slide shows, video presentations, the churches websites, television, newspapers, and other publications. No name would appear with the image.

Scan the QR code below to give or pay.
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