Register for Messiah Lutheran Christmas VBS 2021
On Saturday, December 11, our one-day Christmas VBS will be held from 1-4 pm at Messiah Lutheran, 2015 N. Hastings Way, Eau Claire. See a map at https://tinyurl.com/Messiah-EC-map. We'll feature the Christmas story of Jesus, our newborn Savior, as well as crafts, snacks, and games.

Please fill out the form below. You may also call our office at 715-834-2865, or email to this address: church.office@ecmessiah.org

If transportation is an issue, we'll try to help. Call or text Pastor Naumann at 715-864-3465.
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Parent First and Last name *
Address *
Phone number *
Email Address *
Please list EACH child to register, with current age and grade level *
Allergies to Food, Medications, Insects, Plants, Other? (Please list for each child separately, in the next section) *
If yes, list allergies/explain for EACH child
Emergency Contact Name *
Emergency Contact Phone *
I authorize the Vacation Bible School staff at Messiah Lutheran Church to administer minor medical treatment (for example, minor cuts and scrapes) to my child(ren) while my child is under the staff's care at Vacation Bible School. This release applies to ALL children registered on this form. *
If I or the previously designated guardian cannot be contacted, I authorize emergency medical treatment to be administered by trained medical personnel (for example, first responders, hospital emergency room staff) in case of my child's severe illness or injury. This release applies to ALL children registered on this form. *
Signature of Parent/Guardian *
Today's Date when signed *
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How did you hear about our VBS? *
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