Christ Lutheran Church VBS Registration
June 24th through June 28th, 2019 -- 9 AM to noon
Participant Name *
Your answer
Grade Entering *
Parent Name *
Your answer
E-Mail Address *
Your answer
Mailing Address *
Your answer
Phone *
Your answer
Allergies
Your answer
Medical Concerns
Your answer
Do you have a friend you would like your child to be placed with? If so, who?
Your answer
Do you have a home church? If so, please list.
Your answer
I give Christ Lutheran Church my permission to use photos and videos featuring my child. *
I understand that by completing this registration form, I release and hold harmless Christ Lutheran Church, its trustees, officers, employees, and any volunteers from any liability, past or future, fully and completely. I authorize the staff or designated medical professionals and/or volunteers to administer emergency medical assistance if I cannot be reached. *
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