Holy Cross Vacation Bible School Registration

Holy Cross Lutheran Church Vacation Bible School 2023 Registration

VBS is available for children who have completed one year of pre-school to those who have just completed 5th grade. The cost is free, though during the week we will be taking a free-will donation. VBS will be June 26-July 30, 2023 from 9am - noon.
How many children are you registering?*
Child Information
First Child
Child's Name*

First NameLast Name
Child's Birth Date*

MonthDayYear
Last Grade Completed*
Does the child attend Sunday school anywhere?*

YesNo
Where?
Medical or other information we may need to know about the child (including food allergies).*
Child Shirt Size*
Please indicate size of t-shirt
Second Child
Child's Name*

First NameLast Name
Child's Birth Date*

MonthDayYear
Last Grade Completed*
Does the child attend Sunday school anywhere?*

YesNo
Where?
Medical or other information we may need to know about the child (including food allergies).*
Child Shirt Size*
Please indicate size of t-shirt
Third Child
Child's Name*

First NameLast Name
Child's Birth Date*

MonthDayYear
Last Grade Completed*
Does the child attend Sunday school anywhere?*

YesNo
Where?
Medical or other information we may need to know about the child (including food allergies).*
Child Shirt Size*
Please indicate size of t-shirt
Fourth Child
Child's Name*

First NameLast Name
Child's Birth Date*

MonthDayYear
Last Grade Completed*
Does the child attend Sunday school anywhere?*

YesNo
Where?
Medical or other information we may need to know about the child (including food allergies).*
Child Shirt Size*
Please indicate size of t-shirt
Child Release Information
Parent/Legal Guardian Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Names of Persons to which the child (children) may be released to each night after VBS (Please provide at least two)*

First NameLast Name
Full Name*

First NameLast Name
Full Name

First NameLast Name
Full Name

First NameLast Name
Are there any persons to which the child (children) may NOT be released to?*

YesNo
Who may you child (children) NOT be released to?
Emergency Contact 1 (other than parent/guardian listed above)*

First NameLast Name
Relationship to Child/Children
Emergency Contact 1 Phone Number*

Area CodePhone Number
Emergency Contact 2 (other than parent/guardian listed above)*

First NameLast Name
Relationship to Child/Children
Emergency Contact 2 Phone Number*

Area CodePhone Number
Media Release
By clicking the box below, I hereby Give Permission for photographs and/or video in which my child appears in to be used by the church in printed and/or electronic media, including the church's website.

I Agree
Covid-19 Update
I understand that with the Covid-19 Pandemic, Holy Cross Lutheran Church will do its best to uphold government guidance regarding the safety of those participating in the Vacation Bible School program. This may mean children will need to wear face masks. If my child is feeling unwell and has symptoms of Covid-19, I will keep my child at home. If it is discovered that my child is diagnosed with Covid-19 around the time of camp, I agree to notify VBS leadership.

I Agree
Parent/Guardian Signature

Clear
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Holy Cross Lutheran Church Vacation Bible School 2023 Registration

Child Information

First Child

Second Child

Third Child

Fourth Child

Child Release Information

Media Release

Covid-19 Update