Vacation Bible School 2025 Registration Form

Registration for 2025 is closed - please look out for a 2026 offering!

Name of adult

This address will receive a confirmation email

Phone

Children (ages 3-rising grade 5) who would like to participate and their age as of July 7, 2025

Please list any pertinent allergies or medical conditions

Emergency contact: please list name and phone number.

I hereby grant to Saint Philip’s in the Hills Episcopal Church the right to photograph (during the course of Church-sponsored activities) my dependent child/ren above and to use the photo and/or other digital reproduction of said child or other reproduction of their physical likeness for publication purposes, whether electronic, print, digital or electronic publishing via the Internet. Children WILL NOT be identified by name without specific written permission from parents. I certify that I am a custodial parent and have the aforementioned rights to assign.

Yes No

Deposit

Make payment below ($50/child) Pay by check to Saint Philip's ($50/child) I would like to request assistance for my family

Payment ($50/child)

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Please fill out this form and click submit.

Vacation Bible School 2025 Registration Form

Description

Please Fix the Following