VBS Registration

VBS Registration Form - Fairbanks Lutheran, Aug 4-8, 5:30pm light dinner, 6-8pm VBS for 4yrs - entering 5th grade.

To expand form, enter child's name and hit enter. Please fill out 1 form for each child. Thank you!
Child's Name:*

First NameLast Name
Birth Date:*

MonthDayYear
Age:*
Last Grade completed in school:*

Parental Consent:

I hereby consent to let my child participate in the Fairbanks Lutheran Church's VBS program! It is understood that every precaution will be taken for the safety and well-being of my child, but in the event of accident or sickness, Fairbanks Lutheran Church, its staff and its volunteers are hereby released from any liability.
Signature of Parent/Guardian (First & Last Name)*

First NameLast Name
By submitting this form, I give consent to Fairbanks Lutheran Church for the child listed above.

Fairbanks Lutheran Church, 1012 Cowles Street, Fairbanks, AK 99701. 907-452-3425, office@fairbankslutheranchurch.org.
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