Vacation Bible School - Registration

Registration - Vacation Bible School at Peace Lutheran School (June 17-20, 2019)

One form for EACH child. Please use PROPER CAPITALIZATION (upper and lower case letters)
Child's First Name *
Enter the first name as you would like it printed on the child's name tag
Child's Last Name *
Gender *

Female Male
Grade *

3K 4K 5K Grade 1 Grade 2 Grade 3 Grade 4 Grade 5
T-Shirt Size *

Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large
Address *
Street Address
City *
State *
Zip Code *
E-mail *

Confirmation Email
Mother's Name
Mother's Mobile

Area Code Phone Number
Father's Mobile

Area Code Phone Number
Father's Name
Contact Person's Name and Phone Number (during camp hours) *
Health - Physical limitations, medical conditions, allergies (including food), etc. *

none
Home Church Name *

none
How did you hear about the Vacation Bible School? *

Flyer Word-of-Mouth Peace Lutheran Church/School Social Media Banner/Poster
By checking the box below, I am stating that I have read and understood the above statement, and that I agree with its terms. I also understand that checking the box below constitutes a legally-binding signature. *

I agree.
Your First & Last Name *
PHOTOGRAPHY PERMISSION: In addition, the undersigned gives Vacation Bible School permission to photograph the child named above and to use those photos in print publications and websites (nametags with first names may be visible). I also understand that checking the box below constitutes a legally-binding signature.
Agree to Above Photography Statement *

I agree to the statement above. I do NOT want my child photographed.
Days Your Child Will MISS *

None Monday Tuesday Wednesday Thursday
Other information you would like us to know?
Should be Empty:

Registration - Vacation Bible School at Peace Lutheran School (June 17-20, 2019)