VBS Enrollment Form

2026 Vacation Bible School
JESUS IS OUT OF THIS WORLD
St. Paul's Lutheran Church- 3487 North Boston Rd, Eden
(716) 992-9112

Name of parent(s) *

Phone number *

Address: *

Church Affiliation *

Emergency Contact *

Emergency Phone *

Relationship to child *

about. If

1. Child to be enrolled *

Next grade in school *

Age *

If age 3 or 4- Has your child attended preschool?

Please list any allergies or physical conditions that we should know about.

2. Child to be enrolled

If you have one child, please skip this section and scroll to the bottom of the page to submit.

Next grade in school

Age

If age 3 or 4- Has your child attended preschool?

Please list any allergies or physical conditions that we should know about.

3. Child to be enrolled

Next grade in school

Age

If age 3 or 4- Has your child attended preschool?

Please list any allergies or physical conditions that we should know about.

4. Child to be enrolled

Next grade in school

Age

If 3 or 4- Has your child attended Preschool?

Please list any allergies or physical conditions that we should know about.