VBS Registration
Thank you for registering your child for Trinity Lutheran's Vacation Bible School! Please fill out one form for each child. We are asking a $5 donation per child to help cover costs. You may bring this donation to the registration table the first day.

This year, Trinity's Vacation Bible School is June 18-22, 2018 from 9:00 to 11:30AM.

PLEASE NOTE THAT THE VBS STAFF WILL NOT BE PREPARED FOR CHILDREN UNTIL 8:45AM. IF YOUR CHILD MUST BE DROPPED OFF BEFORE THAT TIME, PLEASE REGISTER FOR OUR SUMMER SHINING STARS PROGRAM.

Child's Last Name *
Your answer
Child's First Name *
Your answer
Gender *
Shining Stars? *
Is this child registered for the Summer Shining Stars Program? IF YOUR CHILD WILL BE WITH SHINING STARS ALL WEEK, PLEASE STOP THIS REGISTRATION. THEY WILL BE SIGNED IN EACH DAY WITH SHINING STARS.
Child's Birth Date *
Please include month, day, and year
MM
/
DD
/
YYYY
Baptized? *
Has this child been baptized?
Grade for the 2018-2019 school year. *
What grade will this child be in for the 2017-2018 school year? CHILDREN ENTERING 6TH GRADE OR HIGHER SHOULD BE REGISTERED AS VOLUNTEERS NOT AS STUDENTS.
Child's T-Shirt Size *
Are there any allergies or other medical issues of which we should be aware? *
If you chose "yes", please explain.
Your answer
Media Permission *
Do we have permission to put photos/video of this child (without names) online at www.trinitydavenport.org, on Trinity's Facebook Page, or in our printed publications?
Is this child the sibling of a child already registered for VBS 2018? *
If this child's sibling is already registered, please enter the sibling's name here. You may then skip the rest of this form and submit.
Your answer
If this child is not a sibling of someone already registered, please complete the rest of this form.
Your answer
Parent Name
First and Last name please
Your answer
Parent Phone
best way to contact you
Your answer
Additional Parent
if applicable
Your answer
Additional Parent Phone
if applicable
Your answer
Child's Address
house number, street, city, state, and zip code
Your answer
Home Church
If your family has a church home, please give that church's name. If your family does not have a church home, please put "NONE".
"Other" home church name
If you marked "other" for the previous item, please give us the name of your home church.
Your answer
Emergency Contact Other Than Parent
If we cannot contact the parent, please give another person to contact.
Your answer
Emergency Contact Relationship
How is this person related to the child?
Your answer
Emergency Contact Phone
What is the phone number where the emergency contact can be reached?
Your answer
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