VBS Summer 2017 Registration Form
Held at Immanuel Lutheran Church, 1634 Illinois Ave, Sheboygan, WI 53081 (Please note the location has changed)

June 12-15, 5:45 p.m. to 8 p.m.

PLEASE USE A SEPARATE FORM FOR EACH CHILD
Registration deadline is June 1. If you register after this date, we will not be able to guarantee a T-Shirt for your child.

Join us as we dive in at Ocean Commotion!
Name of your church
Your answer
T Shirt Size Youth
Child's First Name
Your answer
Child's Last Name
Your answer
Gender
Street
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Phone Number
Your answer
Email Address
Your answer
Parent(s)/Guardian(s)
Your answer
Child's Birthday (Month, Day Year)
MM
/
DD
/
YYYY
Mark grade level just completed
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