Registration Form
Please complete the following questions so we can best communicate and serve you through Vacation Bible School (VBS) this summer of 2022. A new form needs to be used for each participant in a family unit.

VBS is a after program provided by Blair Lutheran, French Creek, Living Hope and Zion Lutheran of the Galesville, Ettrick, Blair Communities.

VBS will take place Monday-Thursday August 1st-4th from  Noon- 5:00pm

Children participating in G-E-T Summer School at the Middle School in Galesville, can take a bus from the middle school to Living Hope Lutheran Church at 11:30 am each day or can be dropped off Living Hope as well. There will be a flexible pick-up time from 4:30 pm-5:00 pm at Living Hope to accommodate a variety of schedules.

A healthy hot lunch  and afternoon snacks will be provided each day.

Thursday, Aug 4th, there will be a Closing Program at 5:00 pm with a potluck following.                                

If you would like to volunteer with VBS in advance or during VBS or have any questions, contact Zion's Director of Youth & Family Ministries: Brianna Iverson at (608) 865-0197 or YouthAndFamily.zion@gmail.com
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Child's Name *
Child's Date of Birth *
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Child's Age *
Fall 2023 Grade (K-6th) *
Current Name of School (or Indicate Homeschooling) *
How Will Your Child Travel to VBS at Living Hope Lutheran in Ettrick, WI? *
My child plans to attend the following days of VBS (Check all that apply) *
Required
Parent/Guardian Name *
Parent/Guardian Email *
Address *
Phone Number *
This number is a... *
Can you receive texts? *
Parent/Guardian Name
Address (if different than first parent/guardian address)
Phone Number
Email
This number is a...
Clear selection
Indicate if another person(s) should receive updates about VBS because they are a Faith Mentor for your child (like a grandparent or Godparent). Add name and contact information below: Email, Phone, Address & Relation to Child.
Are there any Allergies, Dietary Restrictions, Medical Conditions or Medications being taken by your child that VBS Leaders should be aware of? For Upper Elementary female children, has your child started menstruations? If yes, is their/her menstrual history normal? If no, has menstruation been discussed? *
In case of an Emergency I hereby give permission to the medical personnel selected by the VBS Coordinator to order X-rays, perform routine tests, and treat my child, in the event I cannot be reached in an emergency. I hereby give permission to the physician selected by the VBS Coordinator to hospitalize, secure proper treatment, and order injection and/ or anesthesia and/ or surgery for myself or my child named herein. Write your name and the date to testify as your signature. Note that we will make every effort to contact you first. *
I hereby give permission to Blair, French Creek, Living Hope, Zion Lutheran Church to use my child’s picture for use in publicity. *
How would you like to receive information about VBS leading up to and during the week of VBS?
This ministry is a community effort to make sure the kids in our communities are seen, known and have the opportunity to explore a God Beyond Measure who has Boundless love for them. I would be interested in supporting Community VBS by...
How can we support Faith Formation in your home this 2022-2023 year?
Any Questions?
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