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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