Reformation Lutheran Church 2017 VBS Registration
Register here to attend Vacation Bible School at Reformation Lutheran Church June 26 thru 29.
Clive & Ian's Wonder-Blimp of Knowledge
Name of Child *
Your answer
Age of Child *
Your answer
Check Appropriate Box *
Required
Parent's Name *
Your answer
Home Address *
Your answer
Phone Number *
Your answer
Emergency Contact Person *
Your answer
Emergency Contact Phone Number *
Your answer
Does the child have food allergies? *
Required
If yes, list all known food allergies below:
Your answer
Do Vacation Bible School Leaders have permission to photograph/film the child designated above for any lawful purpose associated with the VBS program? *
Required
Who may pickup the child? *
Your answer
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