Registration Form
Welcome to Vacation Bible School, Ages 4-12. This year, VBS is a joint effort between First Venice Lutheran Church, Pilgrim Lutheran and Palisades Lutheran Church. Kids will discover how awesome Jesus is and that nothing is impossible with God! This year, it will be held at Palisades Lutheran Church from July 19-23, 9am to Noon. For any questions, please don't hesitate to contact Yolanda at Palisades Lutheran Church 310-459-2358 or We look forward to seeing you.
Email *
Parent or Guardian *
Child's Name *
Child's Age *
Best Contact Phone number *
Preferred contact method *
List Your Home Church *
Emergency Contact Info *
Person other than yourself authorized to pick up your child.
I give my permission for my child named above to attend Vacation Bible School. I understand that the information I give for this registration will only be used by the VBS hosting church. I give my permission for the VBS staff to administer basic first aid to my child in the event of an injury. I understand the VBS staff will contact emergency services in the event of a significant injury and all expenses for such emergency services will be paid me. *
Electronic Signature
A copy of your responses will be emailed to the address you provided.
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