Registration Form
Peace-Tohickon Lutheran Church welcomes you to our VBS program Sunday June 25- Thursday June 29th 2017 6:00-8:30 pm for ALL ages. There will be a simple supper served from 5:30-6:00 pm for our busy families.
Family Member (Full name, age)
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Family Member (Full name, age)
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Family Member (Full name, age)
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Family Member (Full name, age)
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Family Member (Full name, age)
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Family Member (Full name, age)
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Address
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Cell Phone Number
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Email
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Will Parent/Parents be helping out in other areas of VBS?
If yes, where? If maybe, what information can we supply?
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In case of emergency, contact
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Emergency contact phone number
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Relation to child
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Home Church
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Name of special friend your child might like to be with:
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Nights attending VBS
Required
Nights attending simple supper at 5:30-6:00
Required
Children under 3 or who are not potty trained must be accompanied by a parent/guardian.
Required
Please list any allergies, medical or behavior conditions: I understand that it is my responsibility to disclose any areas of concern.
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We are glad you are attending!
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