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 *

Month Day Year
Date Date Picker Icon
Grade as of May 2019 *
Age *
Gender *

Male Female
Preferred T Shirt Size

Child X Sm Child Sm Child Med Child Lg Adult 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 Name Last Name
Email *
example@example.com
Home Phone Number

Area Code Phone Number
Cell Phone Number *

Area Code Phone Number

Address *

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)

Yes No
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. *

Yes No
Who may pick up your child? Give Name and relationship *
Emergency Contact *

First Name Last Name
Emergency Contact Phone Number *

Area Code Phone Number
Attend?

OSWLC Open Arms
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) Dinner Childcare Registration Decorating Opening and Closing (music, skits)
I can serve these Days

all week advance preparations Sunday Monday Tuesday Wednesday Thursday Place me with my child Do not place me with my child
Signature

Clear
Should be Empty:

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Our Savior's Way Lutheran Church