Time Lab Participant Registration Form
Use this form to register for VBS at St Matthew Lutheran Church
Sunday, June 24 - Thursday, June 28 6:15 pm - 8:30 pm
Participating Parent(s)/Guardian(s) of Participating Children *
Your answer
Non-Participating Parent(s)/Guardian(s) of Participating Children
Your answer
Address and Contact Information
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Preferred Contact (Email and/or phone #)
Your answer
Emergency Contact Information
Emergency Contact Info *
name
Your answer
Emergency Contact Info *
relationship to participant
Your answer
Emergency Contact Info *
Phone number where contact may be reached while participant is attending VBS.
Your answer
Emergency Contact Info
Phone number where contact may be reached while participant is attending VBS.
Your answer
Placement request, allergies, and photo information
Placement request?
(While we will attempt to honor your request, due to limited space, placement requests are not guaranteed.)
Your answer
Food Allergies or Medical Concerns? *
If Yes, please explain.
Your answer
Photographs will be taken of the volunteers and participants during this VBS event. Please check below if you do NOT want photographs of the participant(s) you registered to appear on any publised documents (church newsletter, website, VBS promotion)
There is a light pre-event meal offered each evening, served at 5:30, for vbs participants and volunteers. Please give us a head count for your family for each evening. (Suggested donation per meal = $2)
Sunday: Tacos
Monday: Subway sandwiches
Tuesday: Hot dogs
Wednesday: Tatertot Hotdish/Salad
Thursday: Pizza
Sunday dinner headcount *
Your answer
Monday dinner headcount *
Your answer
Tuesday dinner headcount *
Your answer
Wednesday dinner headcount *
Your answer
Thursday dinner headcount *
Your answer
Participant Registration
Participant #1 (all ages) *
name
Your answer
Participant #1 *
gender
Participant #1 *
Grade Entering Fall 2018
Participant #2 (all ages)
name
Your answer
Participant #2
gender
Participant #2
Grade Entering Fall 2018
Participant #3 (all ages)
name
Your answer
Participant #3
gender
Participant #3
Grade Entering Fall 2018
Participant #4 (all ages)
name
Your answer
Participant #4
gender
Participant #4
Grade Entering Fall 2018
Submit
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