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Camp Firelight VBS @ Peace-Tohickon Lutheran Church
St. Michael's (of Sellersville) and Peace-Tohickon (of Perkasie) Lutheran Churches are hosting Vacation Bible School together at Peace (100 Old Bethlehem Rd, Perkasie, PA 18944)!

It's time for a summer camp adventure with God! Kids will learn ways they can put their trust in God when they are afraid, challenged, or called to do God's work and share the Good News of God's love through Jesus Christ.

VBS will be held Monday, July 14th through Thursday, July 17th from 6-8:15 pm.  A simple dinner will be served for the campers from 6-6:15 and then onto Bible stories & activities, crafts, games and music.

All families are invited to stay for dinner and our “big show” on Thursday evening as we share songs and celebrate God’s love together.

Please fill out one form per child attending.
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Child's First and Last Name *
Child's Age (VBS is for ages 3-12) *
Grade just completed (VBS is for ages 3-12) *
Home Church (if applicable)
Allergies (write "none" if NA) *
Medical Issues or Special Needs  (write "none" if NA) *
Please place my child in the same group as (child’s name):
Parent Name (First and Last): *
Street Address *
City *
Zip-code *
Email Address *
Best Contact Number *
Emergency Contact (First and Last Name): *
Emergency Contact Phone #: *
Alternate Pickup (First and Last Name):
Alternate Pickup Phone #:
Anything else you would like us to know:
Medical Release: I give permission for the VBS staff to administer basic first aid to my child (named above) 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 services will be paid by me. *
Photo Release: I hereby grant the VBS of Peace-Tohickon/St. Michaels Lutheran Church permission to copyright and use photographs/videos taken at VBS of the minor designated above in any manner or form for any purpose lawful at any time.  I 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. *
Permission to Attend: I give permission for my child (named above) to attend the VBS listed above. I understand that the information I give for this registration will only be used by the VBS hosting church, and that all registration information will be removed from the hosting site by December 31 of this year. *
Would you like a CD for your campers to practice with at home? (One CD per family)
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Which evenings will your child be able to attend? *
Required
How many of your family members (including your camper/campers) and/or friends shall we prepare dinner for on Thursday which is our culminating celebration?  **If you have multiple campers, please only answer this question once and place a "0" for additional campers.** *
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