Tailgating with Jesus VBS Registration
Need information? Contact Pastor Jennifer Rose at PastorJennifer@oursaviorshartland.org 
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Parent/Guardian Name *
Address, City, Zip
Phone Number (home and cell) *
Email Address *
Name of Child #1, Date of Birth, and Grade 9/2018 *
Name of Child #2, Date of Birth, and Grade in Sept 2018
Name of Child #3, Date of Birth, and Grade in Sept 2018
Name of Child #4, Date of Birth, and Grade in Sept 2018
Food Allergies, Special Needs, or other information we need?
I am willing to help on one or more of the following teams *
Required
We will occasionally take photographs of students, which we sometimes use in brochures, photo directories, website, advertisements, etc. If you do not wish your child’s image to be used, please fill out and turn in the “Photo Opt Out” form located near the office. *
VBS is $20 per child for the week, which includes meals (and t-shirt for those who are pre-registered).  I will pay by check on the first day of VBS *
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