Vacation Bible School Registration

This event will be held outside (weather permitting). If the weather prevents us from holding it outside, it will be canceled.
Parent/Gardian: *

First Name Last Name
Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone: *

Area Code Phone Number
E-mail: *

How did you hear about our event? *

Newspaper Facebook Word of Mouth Sign by road Church member Postcard Other
Would you like more information?

I would like to be contacted to receive additional information about Christ Lutheran Church I would like to be contacted to receive additional information about building Blocks for Life Preschool?
May we use a photo including your child(ren) to promote events in the future? *
Should be Empty: