VBS 2018 Registration (God's Good Creation)
I agree to give permission for my child to fully participate in all activities relating to First Lutheran Church's God's Good Creation VBS 2018.

In case of emergency, I understand that every effort will be made to contact parent(s), guardian(s), or other relatives listed below. If these contacts cannot be reached, I hereby give the staff and appointed volunteers of First Lutheran Church permission to act on my behalf in seeking emergency treatment for my child/me in the event that such treatment is deemed necessary. I give permission to those administering emergency treatment to do so, using those measure deemed necessary. I understand that First Lutheran Church is not responsible for related injuries that may occur during this event.

Name of Participant
Your answer
Grade Completed
Your answer
Date of Birth
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YYYY
Parents/Guardians
Your answer
Mailing Address
Your answer
Home Phone
Your answer
Parent 1 Cell Phone
Your answer
Parent 2 Cell Phone
Your answer
Parent Email
Your answer
Verify Parent Email
Your answer
If parent or guardian is not available, please call relative below: Emergency Contact Name
Your answer
Emergency Contact Relation to Child
Your answer
Home Phone of Emergency Contact
Your answer
Cell Phone of Emergency Contact
Your answer
Any allergies or reactions?
Your answer
Would you be willing to Volunteer during VBS Week? (check all that apply)
If YES, What days will work for you?
Please check all volunteer opportunities you are interested in? All curriculum and supplies will be provided.
Parent or Guardian Signature
Your answer
Date
MM
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DD
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YYYY
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