VBS Registration | One In Christ Lutheran Parish

Student's name(Required)

First Last

Age(Required)

Grade completed(Required)

Parent's name(Required)

First Last

Parent's address(Required)

Street Address Address Line 2 City State ZIP Code

Phone number(Required)

Email address(Required)

Emergency contact(Required)

Emergency contact phone number(Required)

Medical concerns / allergies

Home Congregation(Required)

All Children will be placed in multi-age groups

Is there a child (same age or not) your child would like to be with?

My child will be picked up by:(Required)

**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.

Yes

Children will be photographed in the midst of the activities. By signing this you give us permission to use your child’s photo (s).

Parent / Guardian signature(Required)

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