Student's name(Required)
Parent's name(Required)
Parent's address(Required)
Home Congregation(Required)
All Children will be placed in multi-age groups
**For your child’s safety, please pick your child up inside the gate and walk them to your car.
I would like order an Roar Music CD at the cost of $10.00(Required)
When we receive the registration form, the CD will be sent to you.
Children will be photographed in the midst of the activities. By signing this you give us permission to use your child’s photo (s).
We are accepting monetary donations for treats. Please send your gift with your registration labeled VBS Treats. Thank you.

The VBS Closing Program will be at Salem Lutheran Church in Lake Mills

Vacation Bible School Registration Form VBS Registration Form 2019