VBS 2018 Registration Form
Redeemer Lutheran Church ~ 3 Years Old through 6th Grade
Sunday June 17 - Thursday June 21 from 5:00 - 7:30 pm
Light dinner will be provided from 5:00 - 5:30 pm
$10/child not to exceed $30 per family

***Payment can be dropped off at the church before or on the first day of VBS.*** (1410 W Boston Ave)
Be sure to clearly indicate the children with the payment.

We strongly encourage you to register by June 10 so we can plan ahead.

***Please fill out one form per child***

Email address *
Child's Name (First & Last) *
Your answer
Child's Age (as of 6/17/18) *
Has the child completed 4th grade or higher? *Children that have completed 4th, 5th and 6th grade will go to Lake Ahquabi on Monday & Wednesday night after dinner and the opening. *
Do we permission to publish the child's photo? *
Name of Parent(s) *
Your answer
Street Address *
Your answer
City *
Your answer
Parent/Caregiver's Cellphone Number *
Your answer
Allergies or other medical conditions *
Your answer
Emergency Contact (include name, number, and relationship to the child) *
Your answer
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