Vacation Bible School 2019
June 24th-28th, 2019 9am-noon
Messiah Lutheran Church 2411 West Ave
Contact us at (319) 754-7591 or
Student or volunteer
Last grade completed
3 yr Preschool
4 yr Preschool
Parent's name and phone number
Allergies or Dietary restrictions
Emergency Contact name and phone number
Photo Release- I give my permission to Messiah Lutheran Church to use photographic pictures, portrait, and video of my child of which he/she may be included in whole or in part, in color or in black and white, made through any media for promotional materials and publications.
Yes, I give my permission
No, I do not give my permission
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