Vacation Bible School Registration Form
Hope Lutheran Church - Aug. 2nd & 3rd
Preschool - 5th Grade
Child's Name *
Child's Age *
Date of Birth *
Last School Grade Completed *
Parent/Guardian's Name (First & Last) *
Street Address *
City *
State *
Zip Code *
Home Telephone Number *
Parent/Caregiver's Cellphone Number *
Home Email Address *
Home Church
Allergies or other medical conditions
In case of emergency, contact (name): *
Emergency Contact Phone Number: *
Emergency Contact - Relation to Child *
I (we) are interested in attending the Adult Bible Study during VBS. *
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