Immanuel Lutheran Summer Olympics VBS
Please answer the following questions to register your child or children for Immanuel's VBS program, 11am - 2pm
July 29th - August 2nd, 2019 (worship and special presentation Sunday August 4th 10am).

If you have more than one child attending, please fill out a separate form for each one.

Email address *
Your Name (First, Last) *
Your answer
Phone Number *
Your answer
Address *
Your answer
Child's Name (First, Last) *
Your answer
Child's Age *
Your answer
Please list any of your child's food allergies or medical concerns that our staff and volunteers should be aware of. (If none, type none.) *
Your answer
How did you hear about Immanuel's VBS program? Check all that apply. *
Required
Do you and your family attend a church? *
If yes, what church do you attend?
Your answer
Would you like to learn more about other opportunities at Immanuel Lutheran, Whitestone for youth and families? *
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