St. John's 2019 Vacation Bible School "VeggieTales" Student Registration
VBS Schedule: June 4-8, 2019, 8:30-11:30 am, Program at 6 pm on June 8.
VBS Location: St. John's Lutheran, Church, 229 S First St., Pearl City, IL 61062
VBS Contact: St. John's at 815-443-2215 or prshadmin@gmail.com
Registration accepted until the event, but to assure appropriate supplies, please complete by May 26.
Email address *
Name of Parent or Guardian *
Address (include city, state & zip) of Parent or Guardian *
Contact Phone Number of Parent or Guardian *
Person responsible for pick-up (include phone number) *
1st Child's Name *
1st Child's Date of Birth *
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1st Child's Grade (2018-19 School Year) *
2nd Child's Name
2nd Child's Date of Birth
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2nd Child's Grade (2018-19 School Year)
3rd Child's Name
3rd Child's Date of Birth
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3rd Child's Grade (2018-19 School Year)
4th Child's Name
4th Child's Date of Birth
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4th Child's Grade (2018-19 School Year)
Any days that your children will not attend?
Dietary restrictions (please note for which child)
Allergies or Medical Needs (please note for which child)
"VeggieTales" VBS T-shirts available at $6 each (please check all sizes needed)
If additional quantities of any shirt size is needed. Note here: (Size and Quantity)
Any special notes or directions to the VBS Leader:
I understand that I will have to pay $$ upon arrival for any t-shirts that are ordered. No participation fee. *
Required
I understand that in the event of an emergency or medical care becomes necessary, every attempt will be made to contact someone. If unable, I grant the adult volunteers of St. John's Lutheran Church VBS authorization to secure medical attention. I also give my permission for my child's photo to be used in promotional materials and in social media by St. John's. *
A copy of your responses will be emailed to the address you provided.
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