Child Registration ROAR VBS

Our Savior's Way Lutheran Church

43115 Waxpool Rd. Ashburn , VA www.oswlc.org 703-858-9254
ROAR VBS

Child Registration form - one form per child
JULY 21 - 25 5:30 pm - 8:30 pm

Sunday - Thursday Evenings
Ages 3.5 years through Grade 5 (completed)

3 years by 2-22-19 and Potty-trained

*NOTE-Children 3– 3.5 may attend if accompanied by a parent

$30 First child in Family; $25 each additional Child;

(Maximum $80 per family)

Payment link:

https://squareup.com/market/oswlc/
Go to: https://www.myvbs.org/OSWLC2019/ for more information, our FAQ sheets and links to volunteer, donate items, etc. Check the links and check the Downloads section of the VBS page.
Child's Last Name*
Child's First Name*
Birth Date*

MonthDayYear
Date
Grade as of May 2019*
Age*
Gender*

MaleFemale
Preferred T Shirt Size

Child X SmChild SmChild MedChild LgAdult Sm
Please List any Allergies or Medical concerns. Put NONE, if none indicated*
Our Savior’s Way/Open Arms is a Peanut-safe facility and every effort is made to reduce allergic risks. However, If your child has a life-threatening allergy, please consider volunteering to work with their group.
Parent Name*

First NameLast Name
Email*
example@example.com
Home Phone Number

Area CodePhone Number
Cell Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Children in K – 5th (completed) will be in small, mixed age crews, which will be part of a larger Group for moving to activities. Do you wish your children in this grade range to be place in the same small group? (preschoolers will NOT be placed in K-5th groups)

YesNo
Names and grades of other Siblings:
I give my permission for my child to be photographed for church use. Children's names will not be used with pictures.*

YesNo
Who may pick up your child? Give Name and relationship*
Emergency Contact*

First NameLast Name
Emergency Contact Phone Number*

Area CodePhone Number
Attend?

OSWLCOpen ArmsOther
I can help with VBS. Please contact me about Opportunities. Visit http://tinyurl.com/oswvbsvolunteers to find job descriptions. You will also need to fill out our Volunteer form, including a background check if you will be working directly with the children.

Activity Station leader (Games, Bible Story, Imagination station)Crew Leader (Preschool or Elementary)DinnerChildcareRegistrationDecoratingOpening and Closing (music, skits)Other
I can serve these Days

all weekadvance preparationsSundayMondayTuesdayWednesdayThursdayPlace me with my childDo not place me with my child
Signature

Clear
Should be Empty:

Our Savior's Way Lutheran Church

ROAR VBS

JULY 21 - 25 5:30 pm - 8:30 pm