Vacation Bible School Registration Form
Ebenezer Lutheran Church
June 10-14, 2018

Only one registration needed per family.

Child name(s) and age(s) *
Your answer
Parent(s) names *
Your answer
Street address *
Your answer
City, State ZIP *
Your answer
Best phone number to reach you *
Your answer
Email *
Your answer
Number of family members participating in Babylon VBS *
Your answer
Will parents be helping in other areas of Babylon VBS? If so, where? *
Your answer
In case of emergency, contact *
Please list name and phone number
Your answer
Allergies or other medical conditions: *
Your answer
Home church:
Your answer
Name of a special friend your child might like to be with:
Your answer
Submit
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