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Our Redeemer Lutheran Church VBS 2026
June 8-12
9:30 am to 12:00 pm
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* Indicates required question
Name of Child
*
Your answer
Age
*
Your answer
Grade in the fall
*
PreK
Kindergarten
1st
2nd
3rd
4th
5th
6th
Gender
*
Male
Female
Does your child have allergies?
*
No
Yes
If yes, please list allergies here.
Your answer
Anything else that you would like to communicate about your child? Medical conditions or other general information? Please elaborate below.
Your answer
Name of parent
*
Your answer
Email address
*
Your answer
Contact phone number
*
Your answer
Address
*
Your answer
Emergency contact #1 Name
*
Your answer
Relationship to child
*
Your answer
Emergency contact #1 phone number
*
Your answer
Emergency contact #2 Name
*
Your answer
Relationship to child
*
Your answer
Emergency contact #2 phone number
*
Your answer
Is it okay for ORLC to take photos of your child during activities which could be added to our website or social media?
*
Yes
No
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