Vacation Bible School Registration

Students to register:*

Any allergies or other medical conditions that we need to know about your child(ren)?:
Would you be willing to serve as a volunteer for Vacation Bible School? (Choose as many are as applicable):*

Yes, prior to VBSYes, during VBSNo, thank you

The undersigned herby gives permission for the student(s) registered above to attend St. John Lutheran Church - Vacation Bible School and with this signed agreement, absolves the staff of St. John Lutheran Church, the Vacation Bible School volunteers and any and all members of its governing boards of any responsbility for the safety, welfare, health, and well-being of the child(ren) named above, beyond such matters as may be called reasonable care for child(ren) in the custody of the staff and volunteers and subject to the staff and volunteer's clear instructions, and assumes personally and exclusively all responsbility and liability for any accident, injury, etc., which may occur to the child(ren) named above during hte time of the specific activity as set forth at the beginning of this paragraph.
Type in name as signature:*
Date signed:*

MonthDayYear
Date
Should be Empty: