"ROAR" VBS Registration
WELCOME! Please complete one form per child. Vacation Bible School will run from June 16-20 from 6-8:15pm. Children, age 4 to 5th graders (entering 6th grade) are welcome participate in VBS. Older children and adults are welcome to volunteer! There is a $15 suggested donation per child. If registering online, you can pay on your first day of VBS at the registration table. Scholarship money is available to families who need help paying. Please speak to Amy Schutte for assistance or call 651-457-3929 X 111. THANK YOU! We can't wait to have a roaring time at VBS!
Email address *
Child's First and Last Name *
Your answer
Child's Gender *
Child's Date of birth (month, day, year) *
Your answer
Grade child is entering:
Your answer
Child's Parent(s) Name(s) *
Your answer
Child's Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Parent(s) Cell Phone Number(s) *
Your answer
Allergies or Medical Conditions (or type NONE) *
Your answer
In case of emergency contact name *
Your answer
Emergency contact phone *
Your answer
Emergency contact relationship to child *
Your answer
Home church:
Your answer
Individuals authorized to pick up your child (if we do not recognize the person picking up your child, we may ask for an ID)
Your answer
Photo Release: I hereby grant permission for my child listed on this form, to be included in pictures, promotional material, and publications connected with Vacation Bible School at Emanuel Lutheran Church. My child's picture may appear in publications and promotional materials, such as, but not limited to, as follows: Church Newsletter (New and Notes), PowerPoint Presentations, Church's website www.emanuellutheranchurch.org, church brochures, postcards, and flyers. Please initial below if you give permission.
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A copy of your responses will be emailed to the address you provided.
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