Copy responder link
Copy
Published
Section 1 of 1
VBS 2026: Agents of C.H.A.N.G.E.
Hosted by Living Waters, Lino Lakes and St. Mark, Circle Pines 
Monday August 10- Thursday August 13, 2026
Dinner served at 5:30pm with activities for kids aged 3- 5th grade (grade completed) from 6:00-7:30pm at Living Waters (865 Birch Street, Lino Lakes). 
Kids 3 years old (with parents) through 5th Grade (completed this Spring) are invited to participate. 
Child's Name
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Age
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Child's grade (completed in 2025-2026 school year)
Question Type
Loading image…
Pre-K
K
1st
2nd
3rd
4th
5th
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…
Child's Gender
Question Type
Loading image…
Male
Female
Prefer not to say
Other:
Add option
Answer key
(0 points)
Loading...
Loading…
Child's t-shirt size *Registrations must be received by 7/26/2026 to ensure your child will receive a shirt. The shirts are part of the VBS activities* 
Question Type
Loading image…
XS
S
M
L
XL
Other:
Add option
Answer key
(0 points)
Loading...
Loading…
Parent/Guardian Name
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Email address
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Phone Number 
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Emergency Contact with phone number
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Pick up adult
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Address
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Any allergies or other medical conditions we should be aware of?
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Any other restrictions? 
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Family's Home Church
Question Type
Loading image…
Living Waters
St. Mark Circle Pines
Other:
Add option
Answer key
(0 points)
Loading...
Loading…
Number of people for dinner 
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
If there are any days you know your child WILL NOT be attending VBS, please indicate below: 
Question Type
Loading image…
Monday
Tuesday
Wednesday
Thursday
We plan to be here all 4 days
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…

VOLUNTEER

Explore volunteer opportunities and sign up to help here: VBS Volunteer Signup 

GENERAL RELEASE

I/we give consent for my/our child(ren) to participate in Vacation Bible School at Living Waters Lutheran Church, Lino Lakes, MN on August 10-13, 2026.

I/we understand the nature of these events and do hereby release Living WatersLutheran church and St. Mark Lutheran church from any liability due to accident or injury incurred by my child(ren). I/we further agree to release and hold Living Waters Lutheran church and St. Mark Lutheran Church, and its agents, or anyone acting on its behalf, free and harmless of any claims, demands, or suits arising from their conduct to the full extent permitted by Minnesota Law in conjunction with any event or related travel, including the authorization and provision of medical treatment.

Question Type
Loading image…
Yes, I give consent
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…

PHOTO RELEASE:

I/we give consent for Living Waters, Lino Lakes and St. Mark, Circle Pines, to take and use photos of myself and my/our child(ren) in any publication and/or social media outlet.

Question Type
Loading image…
Yes, I give consent
No, I do not give consent for photos of myself and/or my child/ren to be used
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…

REGISTRATION FEES:

In order to cover the cost of supplies, there is a $15 registrtation fee per student (maximum fee per family is $45). Scholarships are always available. Please contact the pastor at the church you are affiliated with if you would like scholarship information. 

Click here to make payment 

If paying by check, please make the check out to Living Waters and write "2026 VBS Registration" in the memo line. If mailing the check, our address is: Living Waters Lutheran Church, 865 Birch Street, Lino Lakes MN 55014

Payments are greatly appreciated by July 26, 2026.
Question Type
Loading image…
I/we would like more information about scholarships
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…
Electronic Signature of Parent/Guardian  

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Link to Sheets
Insights
Total points distribution
Loading...
Loading responses…
Child's Name
Copy chart
No responses yet for this question.
Age
Copy chart
No responses yet for this question.
Child's grade (completed in 2025-2026 school year)
Copy chart
No responses yet for this question.
Child's Gender
Copy chart
No responses yet for this question.
Child's t-shirt size *Registrations must be received by 7/26/2026 to ensure your child will receive a shirt. The shirts are part of the VBS activities* 
Copy chart
No responses yet for this question.
Parent/Guardian Name
Copy chart
No responses yet for this question.
Email address
Copy chart
No responses yet for this question.
Phone Number 
Copy chart
No responses yet for this question.
Emergency Contact with phone number
No responses yet for this question.
Pick up adult
Copy chart
No responses yet for this question.
Address
No responses yet for this question.
Any allergies or other medical conditions we should be aware of?
No responses yet for this question.
Any other restrictions? 
No responses yet for this question.
Family's Home Church
Copy chart
No responses yet for this question.
Number of people for dinner 
Copy chart
No responses yet for this question.
If there are any days you know your child WILL NOT be attending VBS, please indicate below: 
Copy chart
No responses yet for this question.

VOLUNTEER

Explore volunteer opportunities and sign up to help here: VBS Volunteer Signup 

GENERAL RELEASE

I/we give consent for my/our child(ren) to participate in Vacation Bible School at Living Waters Lutheran Church, Lino Lakes, MN on August 10-13, 2026.

I/we understand the nature of these events and do hereby release Living WatersLutheran church and St. Mark Lutheran church from any liability due to accident or injury incurred by my child(ren). I/we further agree to release and hold Living Waters Lutheran church and St. Mark Lutheran Church, and its agents, or anyone acting on its behalf, free and harmless of any claims, demands, or suits arising from their conduct to the full extent permitted by Minnesota Law in conjunction with any event or related travel, including the authorization and provision of medical treatment.

Copy chart
No responses yet for this question.

PHOTO RELEASE:

I/we give consent for Living Waters, Lino Lakes and St. Mark, Circle Pines, to take and use photos of myself and my/our child(ren) in any publication and/or social media outlet.

Copy chart
No responses yet for this question.

REGISTRATION FEES:

In order to cover the cost of supplies, there is a $15 registrtation fee per student (maximum fee per family is $45). Scholarships are always available. Please contact the pastor at the church you are affiliated with if you would like scholarship information. 

Click here to make payment 

If paying by check, please make the check out to Living Waters and write "2026 VBS Registration" in the memo line. If mailing the check, our address is: Living Waters Lutheran Church, 865 Birch Street, Lino Lakes MN 55014

Payments are greatly appreciated by July 26, 2026.
Copy chart
No responses yet for this question.
Electronic Signature of Parent/Guardian  

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Copy chart
No responses yet for this question.
Settings
Responses
Manage how responses are collected and protected
Presentation
Manage how the form and responses are presented
Defaults
Form defaults
Settings applied to this form and new forms
Question defaults
Settings applied to all new questions
.