Our Lord's Lutheran Church Vacation Bible School Signup
June 5-9, 2023 (family meal at 5, VBS at 6!)
Child's Name
*
First Name
Last Name
Child's Age
*
Child's Date Of Birth
*
-
Month
-
Day
Year
Date
Child's Gender
*
M
F
Child's Last School Grade
*
Child's T Shirt Size (optional)
Parent's Name
*
First Name
Last Name
Parent's Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent's Email
*
example@example.com
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Who Can Pick Up My Child?
*
You can list yourself, spouse, family members, friends, or any other authorized individual to whom we can release your child to at the end of the day.
Please list any known allergies or medical concerns:
*
If none, please put "none."
Does Our Lord's Lutheran Church have permission to take video footage and/or photos of your child for the purposes of publication to the congregation through the monthly newsletter and/or weekly announcements?
*
Yes
No
Submit Form
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