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

FREE & Open to ALL children entering PRE-K to 6th
JULY 23rd - 27th
5:30pm -8:00pm

(includes dinner for your child at 5:30pm)
At St. Andrew Lutheran Church
1125 Stafford Ave, Bristol, CT 06010
860-583-5809
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:
Email Address:
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) Age Grade entering this fall T-Shirt size Allergies / Other Needs
Photo Release
I     (select one) permission to St. Andrew, Glorei Dei 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.
Emergency Medical Attention
I     (select one) counselors and staff from St. Andrew, Glorei Dei and Zion Lutheran Churches of Bristol, CT to seek emergency medical attention for my child/ren named above, should the need arise, if I or my emergency contact person are unreachable by phone.






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