Vacation Bible School Registration
When? June 10-13, 2019 from 12:00 PM - 3:30 PM

Lunch is Provided at No Cost 12:15 - 12:30 PM

VBS is Free

Summer School Busing is Free

Where? St. John's Ev. Lutheran Church, 400 S Main St., Juneau, WI 53039

Contact St. John's at (920) 386-3313 or church@stjohnsjuneau.org // www.stjohnsjuneau.org

Email address *
Child's First Name *
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Child's Last Name *
Your answer
Grade Next Year *
Child's First Time Attending? *
Parent (s) / Guardian Name (First and Last) *
Your answer
Address (Street) *
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City *
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State *
Zip Code *
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Phone Number (cell) *
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Phone Number (home)
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Emergency Contact (Name) *
Your answer
Emergency Contact Phone Number *
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Name(s) of those who are authorized to pickup my child. *
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Known Allergies (Lunch and Snack are served everyday - at no cost to you or child) *
Your answer
What days will you attend? Mon - Thurs 12:00 PM - 3:30 PM *
Required
How will your child arrive at VBS? *
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If taking the Dodgeland Summer School Bus, please specify which days your child will be riding
How will your child leave VBS? *
I give permission for my child to be photographed for photos to be used for various publications. *
How did you hear about us? *
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A copy of your responses will be emailed to the address you provided.
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