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Salem Lutheran 2018 VBS Registration: August 6-10 (9am-Noon) / Free and open for ages 3 yrs(potty trained) through 5th grade

9615 Pioneer Trail, Greenfield, MN 2018
Email address *
2018 Theme - Splash Canyon: God's Promise on Life's Wild Ride
Name of Parent(s) *
Your answer
Street address (Please include city, state & zip code) *
Your answer
Email address *
Your answer
Phone # *
Your answer
Emergency Contact (first & last name) *
Your answer
Emergency Contact's phone number *
Your answer
Emergency Contact's relationship to your family *
Your answer
Medical Release (for all of your children attending VBS): I give my permission for the VBS staff to administer basic first aid to my child(ren) in the event of an injury. I understand that the VBS staff will contact emergency services in the event of a significant injury and all expenses for such emergency will be paid by me. *
Photo Release (for all of my children): I hereby legally grant Salem Lutheran Church & School permission to copyright and use photographs and/or videos taken at Vacation Bible School of the children registered by me in any manner or form for any purpose lawful at any time. I legally waive any right that I may have to inspect or approve the finished product or written copy, that may be used in conjunction therewith, or the use to which it may be applied. *
Home Church (Church Name & City)
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