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St. John Lutheran Church VBS 202 "True North" Registration
Child Registration for July 14-18, 2025
*Please be advised - registrations received after June 25, 2025 will not be guaranteed a t-shirt*
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* Indicates required question
Child's First and Last Name:
*
Your answer
Child's Birthday
*
(Child must be 3 years old and toilet trained prior to VBS attendance.)
MM
/
DD
/
YYYY
What grade level did your child most recently complete?
*
Choose
3 years old
4 years old
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
What size t-shirt does your VBS child wear?
*
Choose
youth extra-small
youth small
youth medium
youth large
youth extra-large
adult small
adult medium
adult large
Parent First and Last Name
*
Your answer
Parent contact information
*
Please provide your home address.
Your answer
Emergency contact information:
*
Please provide name, relationship to camper, home and cell phone numbers:
Your answer
Approved pick-up list:
*
Help us keep your child safe; provide a list of people able to pick up your child.
Your answer
Siblings attending "Camp Firelight", VBS 2024:
Please list other siblings and their ages (Note: Please complete a registration form for each individual child.).
Your answer
Does your VBS child have any allergies?
*
Choose
Yes
No
If you answered yes, please list your VBS child's allergies below:
Your answer
Does your child have any medical concerns?
*
Choose
Yes
No
If you answered yes, please explain the medical concerns below:
Your answer
Church Home
*
Your answer
Electronic Signature
*
By providing your name below, you allow VBS leaders to have permission to photograph/film the minor(s) designated above in any manner or form for any lawful purpose associated with this VBS program.
Your answer
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