Immanuel VBS junior leader registration
June 18-22, 2018
Immanuel Lutheran Church, 104 Snelling Avenue S, St. Paul, MN 55105
Contact us at or 651-699-5560
Email address *
Youth's first name *
Your answer
Youth's last name *
Your answer
Youth's birthdate
Your answer
Completed grade *
Allergies and dietary restrictions *
Additional details we should know
Your answer
Parent name(s) *
Your answer
Street address *
Your answer
City *
Your answer
State *
Your answer
ZIP code *
Your answer
Parent phone *
Your answer
I will volunteer; please contact me about
Emergency contact name *
Your answer
Emergency contact phone *
Your answer
Media release consent
Immanuel Lutheran Church staff and volunteers will take photographs and videos during the week. Some of these media images could be shared with other VBS participants or used within the church to showcase the event to ILC members and visitors. Some could be posted to Immanuel's social media channels, including but not limited to Facebook and Instagram.

Our church policy is to never name minors publicly.

We value your privacy and the safety of your children. Please indicate your consent below.

Immanuel staff and volunteers may use my child's image *
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