VBS Registration Form
Grace Lutheran Church & School
Vacation Bible School
Friday, July 22, 2022

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Email *
Parent(s) Name *
Address *
Home Phone *
Emergency Contact & Phone Number *
Church Home
Student Name(s) *
Please include the grade the child will enter in the Fall
Little Ones-Under Age 3
We will be offering a special class for the little ones that are age 3 and under. Parents are asked to stay and join in the fun! Please include child's name and age.
I give Grace Lutheran permission to use pictures of my child(ren): *
We will be taking pictures that evening, so please let us know by indicating below that we can use a picture of your child(ren) on our website or Facebook.
A pizza dinner will be served promptly at 5:30pm. How many from your family will be attending?
Does your child have any allergies? If so, what are they?
Grace Lutheran Church Liability Statement *
I give permission for my child to participate in Grace Lutheran Church and School’s VBS program. I assume the risk of injury and/or illness to my child because of their participation in this event. I give up any claim for damages that I may have against Grace Lutheran Church and School.  
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