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.
Child's first name *
Child's last name *
Birthdate *
Age by September 1, 2020 *
Mailing Address *
City *
Zipcode *
Preferred Phone Number *
If the child is not a member of the Lutheran Church of the Holy Spirit, which church are you affiliated with, if any *
Mother's Name *
Mother/Guardian's Work Phone Number *
Mother/Guardian's Cell Phone Number *
Father's Name *
Father/Guardian's Work Phone Number *
Father/Guardian's Cell Phone Number *
Primary Email Address *
In the event of an emergency and we cannot reach you, please indicate a responsible person we may contact. *
Emergency Contact's Phone Number *
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 *
List below if your child has any food/other allergies or any other medical conditions *
Pediatrician's Name *
Pediatrician's Phone Number *
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. *
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.
Can you volunteer to help out with VBS by teaching, assisting, or working behind the scenes for one or more mornings during VBS?
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