Holy Trinity Lutheran Church - Vacation Bible School
Saturday, June 11th from 8:30 A.M. to 2:00 P.M.
Ages 3-12
Please complete one form per child
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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.)? *
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. *
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