Vacation Bible School @ St. John's Lutheran Cedarbrook

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REGISTRATION FORM

August 5-8, 2024

5:00 pm-8:00 pm

27452 St. John's Church Road, Aitkin, MN

Name of Child #1/Date of Birth/Child's Age/Last school grade completed *

Name of Child #2 /Date of Birth/Child's Age/Last school grade completed

Name of Child #3 /Date of Birth/Child's Age/Last school grade completed

Name of Child #4 /Date of Birth/Child's Age/Last school grade completed

Name of Parent(s) or guardian(s) *

Email and Cell of Parents/guardians *

Address *

Home church *

What days will you attend? *

Day 1

Day 2

Day 3

Day 4

Required

Dietary restrictions/Allergies/Medical conditions *

In case of EMERGENCY, contact name, phone number & relationship to child *

Photo Release: St. John's Cedarbrook Church/VBS has my permission to use my child's photography publicly in VBS materials. I understand the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use. *

YES

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