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
Submit
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