Holy Trinity Lutheran Church - Pets Unleashed Vacation Bible School

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Saturday, June 10th and Sunday, June 11th (Both days from 8:30 A.M. to 11:30 A.M.)
Ages 3-Grade 5
Please complete one form per child

Child's name *

Child's current age (Ages 3 - 12) *

Child's mailing address (please include city and zip code) *

Email address *

Emergency contact name *

Emergency contact phone number *

Does the child have any dietary restrictions or medical conditions (e.g. allergies etc.)? *

Yes

If the child has dietary restrictions or medical conditions, please enter them below. If not, you may leave blank.

Names of individuals who may pick up this child from VBS: *

Photo Release: Holy Trinity Lutheran Church/VBS has my permission to use my child's photograph publicly in VBS materials. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee, or other compensation shall become payable to me by reason of such use. *

I consent

I do not consent

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