VBS 2019 Registration Form
Redeemer Lutheran Church ~ 3 Years Old through 6th Grade

Sunday, June 16 - Thursday, June 20 from 5:00 - 7:30 pm

Light dinner will be provided from 5:00 - 5:30 pm

We strongly encourage you to register by June 10 so we can plan ahead.

***Please fill out one form per child***

Want to help?? We'd love to have you join our team!! http://bit.ly/VBSjobs2019

Email address *
Child's Name (First & Last) *
Your answer
Gender of Child *
Most recent grade completed *
Do we have permission to publish the child's photo? *
Name of Parent(s) *
Your answer
Street Address *
Your answer
City *
Your answer
Parent/Caregiver's Cellphone Number *
Your answer
Allergies, medical conditions, or anything else we should know *
Your answer
Emergency Contact (include name, number, and relationship to the child) *
Your answer
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