Vacation Bible School Registration 2020--Preschool Form
Lutheran Church of the Holy Spirit Vacation Bible School will be held July 27th-July 31st, 9:00 am to Noon. Preschool students will attend on Monday, Wednesday and Friday. Students MUST be 3 or 4 by September 1, 2020 and potty trained in order to register.
Please complete all items of the registration form. After completion, please mail a registration fee of $30.00 per child. Please make checks payable to Lutheran Church of the Holy Spirit. You will be notified only in the event that we are unable to register your child due to capacity.
* Required
Child's first name
*
Your answer
Child's last name
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Age by September 1, 2020
*
3
4
Mailing Address
*
Your answer
City
*
Your answer
Zipcode
*
Your answer
Preferred Phone Number
*
Your answer
If the child is not a member of the Lutheran Church of the Holy Spirit, which church are you affiliated with, if any
*
Your answer
Mother's Name
*
Your answer
Mother/Guardian's Work Phone Number
*
Your answer
Mother/Guardian's Cell Phone Number
*
Your answer
Father's Name
*
Your answer
Father/Guardian's Work Phone Number
*
Your answer
Father/Guardian's Cell Phone Number
*
Your answer
Primary Email Address
*
Your answer
In the event of an emergency and we cannot reach you, please indicate a responsible person we may contact.
*
Your answer
Emergency Contact's Phone Number
*
Your answer
Lutheran Church of the Holy Spirit has my permission to use my child's photo on their website, promotional materials, social media (i.e.Facebook) and in-house slide show displays
*
Yes
No
List below if your child has any food/other allergies or any other medical conditions
*
Your answer
Pediatrician's Name
*
Your answer
Pediatrician's Phone Number
*
Your answer
By clicking on the box below, you agree to the following: I authorize Lutheran Church of the Holy Spirit Vacation Bible School personnel to seek medical attention for my child(ren) in the event I cannot be contacted during a medical emergency.
*
Yes, I agree to this statement
Can you bring one or more 64 oz. containers of juice (Hi-C, Gatorade, Juicy Juice, etc.) for snacks? If you can bring juice, please indicate below how many containers you can bring.
Your answer
Can you volunteer to help out with VBS by teaching, assisting, or working behind the scenes for one or more mornings during VBS?
Monday
Wednesday
Friday
I'm not able to help at this time.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
