2017 VBS Registration
Register for Vacation Bible School at Grace Lutheran Church of Oconto Falls. July 23 - 27th.
Student's Name *
Your answer
Parent/Family/Guardian Name *
Your answer
Address
Your answer
Email Address *
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Work Phone
Your answer
Date of Birth
MM
/
DD
/
YYYY
Age
Your answer
Last School Grade Completed
Your answer
Home Church
Your answer
Allergies/Medical Information/Other
Your answer
Emergency Contact 1 - Name *
Your answer
Emergency Contact 1 - Phone # *
Your answer
Emergency Contact 2 - Name
Your answer
Emergency Contact 2 - Phone #
Your answer
Dismissal Information (name of persons who may pick up your child)
Your answer
Submit
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