SonWest Roundup 2019 Vacation Bible School at Hutto Lutheran Church - Registration Form
Please fill out 1 registration form per child attending. VBS is for children aged 3 to 5th grade. The whole family is welcome to join for dinner.
June 24-28, 2019 - Dinner provided at 5:30pm, VBS 6:00-8:00pm
Participant Name: *
Your answer
Birth date *
MM
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DD
/
YYYY
School Grade just completed/age if not in school *
Your answer
Street Address *
Your answer
City, State, Zip *
Your answer
Phone Number
Your answer
Email
Your answer
Parent(s)/Guardian(s) Name *
Your answer
Parent(s)/Guardian(s) Phone Number *
Your answer
In case of emergency, contact (Name, Number, Relation) *
Your answer
Allergies or other medical conditions *
Your answer
Home church, if any
Your answer
I hereby grant/do not grant (select one below) permission for Hutto Lutheran Church to use pictures of my child on their website/social media sites for informational or promotional purposes. *
Required
Parent/Legal Guardian Electronic Signature - by typing your name into this form, it is the same thing as signing by hand with a pen *
Your answer
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