Vacation Bible School

VACATION BIBLE SCHOOL

Tuesday, June 27-Thursday, June 29 (8:30-11:30)
VBS Registration

One form for EACH child. Please use PROPER CAPITALIZATION (upper and lower case letters)
Child's First Name*
Enter the first name as you would like it printed on the child's name tag
Child's Last Name*
Gender*

FemaleMale
Grade*

3K4K5KGrade 1Grade 2Grade 3Grade 4Grade 5
T-Shirt Size*

Youth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult Large
Address*
Street Address
City*
State*
Zip Code*
E-mail*

Confirmation Email
Mother's Name
Mother's Mobile

Area CodePhone Number
Father's Mobile

Area CodePhone Number
Father's Name
Contact Person's Name and Phone Number (during camp hours)*
Health - Physical limitations, medical conditions, allergies (including food), etc.*

noneOther
Home Church Name*

noneOther
How did you hear about the Vacation Bible School?*

FlyerWord-of-MouthPeace Lutheran Church/SchoolSocial MediaBanner/PosterOther
By checking the box below, I am stating that I have read and understood the above statement, and that I agree with its terms. I also understand that checking the box below constitutes a legally-binding signature.*

I agree.
Your First & Last Name*
PHOTOGRAPHY PERMISSION: In addition, the undersigned gives Vacation Bible School permission to photograph the child named above and to use those photos in print publications and websites (nametags with first names may be visible). I also understand that checking the box below constitutes a legally-binding signature.
Agree to Above Photography Statement*

I agree to the statement above.I do NOT want my child photographed.
Days Your Child Will MISS*

NoneWednesdayThursdayFriday
Other information you would like us to know?
Should be Empty:

VBS Registration