Treehouse Of God's Love VBS - Registration
July 23 - 27th 2018, 5:15PM - 7:30PM
Email address *
Treehouse Of God's Love's is an open Vacation Bible School experience presented by the people of Zion Lutheran Church that will run July 23rd to 27th, from 5:15PM until 7:30PM. The VBS is open to all children 3 years old (and potty trained) up to 5th grade. All are welcome!
For additional information please call the church office at (860) 628-5759
CHILD'S FIRST NAME *
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CHILD'S MIDDLIE INITIAL
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CHILD'S LAST NAME *
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CHILD'S BIRTHDAY (XX/XX/XXXX) *
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CHILD'S GRADE IN SCHOOL (if applicable)
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PARENT OR GUARDIAN NAME *
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BEST PHONE TO CONTACT *
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E-MAIL OF PARENT/GUARDIAN
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STREET ADDRESS *
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CITY *
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STATE *
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WILL PARENT/GUARDIAN BE VOLUNTEERING?
EMERGENCY CONTACT (NAME & NUMBER) *
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CHILD'S ALLERGIES
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WAIVER AND RELEASE. I agree that my child(ren) are engaging in the activities of the Zion Lutheran Church Vacation Bible School 2018 (“VBS”) at these premises at our own risk. I agree to hold harmless Zion Lutheran Church, its agents, servants and volunteers (collectively “Zion”) from any and all claims, suits or demands arising from my child(ren)’s participation in VBS, including claims of negligence on the part of Zion. *
PHOTO RELEASE. I hereby grant Zion Lutheran Church permission to use the likeness of my child in photographs in any and all of it's publications, including website entries, without payment or other consideration. I understand and agree at these materials will become the property of Zion Lutheran Church and will not be returned. In addition I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my child's likeness appears. I hereby certify at I am the parent or guardian of the aforementioned child(ren), named above, and do hereby give my consent without reservation to the foregoing on behalf of this person. *
A copy of your responses will be emailed to the address you provided.
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