Who is My Neighbor? Summer 2019 VBS Registration Form
St. John's Lutheran Church Abbottstown PA is pleased to be offering summer 2019 VBS July 9, 10, and 11. On July 9th and 10th (only), we will offer dinner for participants and their families from 5-6pm followed by VBS from 6-8pm. On July 11, we will travel to the Wittel Farm for the morning and swim at Kirchenwald for the afternoon.
Email address *
Do you plan to join us for dinner at 5pm? *
Please mark all that apply
How many will be attending dinner? *
Your answer
Which nights will you be attending VBS? *
Please check all that apply.
Will you be joining us at the Wittel Farm? *
Please fill out the additional registration form if you're planning to attend the day at Wittel Farm.
Child's First and Last name *
Your answer
Child's Birthday (mm/dd/yy) *
Your answer
Child's age (as of July 9th 2019) *
Your answer
Grade *
Please list any allergies/health concerns/special needs *
Your answer
Parent or Guardian full name *
Your answer
Parent/Guardian Address *
Your answer
Parent/Guardian Phone Number *
Your answer
Emergency Contact Name/Number (in case of an emergency during VBS) *
Your answer
Who may we release your child to at the end of VBS? *
Your answer
Home Congregation *
Do you consent to VBS staff administering First Aid to your child if necessary? *
Photography Consent: Do you agree to allow your child's photograph to be taken and used for church publications? *
Would you be interested in volunteering to help during VBS? *
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