Register for Messiah Lutheran VBS 2017
Registration is for June 26-30 or August 7-11.

If more than 3 children are attending, please fill out more than one online form, or call 715-834-2865. You may also email to this address: messiah.ec.secretary@gmail.com

To save time the first day, you may fill out our Emergency Contact/Medical form on the screen, then print and sign (3 signatures) a copy for each child: https://goo.gl/X9dLRH

Parent or Guardian (Last Name, First Name)
Your answer
Full Address
Your answer
Phone Number
Your answer
Email Address
Your answer
Session Attending
FIRST Child's Name
Your answer
FIRST Child's Age
Your answer
FIRST Child's Grade Level (coming school year)
Your answer
SECOND Child's Name (optional)
Your answer
SECOND Child's Age
Your answer
SECOND Child's Grade Level (coming school year)
Your answer
THIRD Child's Name (optional)
Your answer
THIRD Child's Age
Your answer
THIRD Child's Grade Level (coming school year)
Your answer
FOURTH Child's Name (optional)
Your answer
FOURTH Child's Age
Your answer
FOURTH Child's Grade Level (coming school year)
Your answer
How did you hear about our VBS?
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