VBS Registration 2017

You are registering your child for VBS at Christ Lutheran Church, Lincoln, NE.
If your child will be attending Christ Kids Summer Care DURING VBS WEEK, they will be automatically registered. Do not register them here.
Session Attending
First Name
Your answer
Last Name
Your answer
Date of Birth
Please note-Child must turn 4 before May 31st, 2017
MM
/
DD
/
YYYY
Grade in Fall 2017
Gender
Parent (s)/Guardian Name
Your answer
Phone number(s)
Please list phone numbers to use in case of emergency.
Your answer
Child's Main Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Best Email to use
This is our primary means of communication, please be sure it is checked daily
Your answer
Who will pick up child?
Name, relationship,and phone number if different from above.
Your answer
Church home?
Required
If other, where do you attend?
Your answer
May we send you more information about Christ Lutheran Church?
Throughout VBS we will have a staff photographer documenting each day. Do we have your permission to publish pictures and/or videos of your child (without names) on social media, the church website, variety of publicity pieces.
Friend requests
We attempt to honor requests. Please understand that we cannot always do so due to space and grouping constraints. Thank you for understanding in advance.
Your answer
Comments, Concerns
Please list anything here that will help us as we strive to make this VBS experience the best it can be for your child. Allergies, diagnoses, and/or custodial concerns we should be aware of? Your child has an aversion to crazy wild dancing...write it down! If more than one child being registered, be sure to denote which child to which this applies.
Your answer
Register more children?
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