Resurrection Lutheran - Vacation Bible School
5:30-8:15 pm from June 26-29, 2017

Thank you for registering your child/children for the Resurrection Lutheran Church Vacation Bible School. We look forward to working with you and your family.


5:30 to 6:00 pm -Please come into the church to sign your child in; dinner will be served to children, volunteers, and families

6:00 to 6:15 pm- Opening program for everyone

6:20 to 6:35 pm – Hometown Huddle: A gathering time with Tribe leader

6:40 to 6:55 pm - Travel to first station for the evening – there will be four stations. Each group will work at all 4 stations each night. First Rotation

7:00 to 7:15 pm- Second Rotation

7:20 to 7:35 pm- Third Rotation

7:40 to 7:55- Fourth Rotation

8:00 to 8:15 pm- Closing program for everyone

8:15 pm- Pick-up: Please come into the church to sign your child out. Adults must be prepared to show photo ID for pick-up.

Please come into the church to sign your child in; dinner will be served to children, volunteers, and families.

Please complete the registration form below to provide us more information about your child.

Number of attending Adult Class 6:15 to 8:00 pm:
Will your family be eating the meal each night?
How many are in your family for dinner?
Your answer
Child's Name:
Your answer
Nickname or Preferred Name:
Your answer
Child's Age:
Your answer
Child's Birthdate:
Your answer
Parent/Guardian Name:
Your answer
Your answer
Your answer
Home Phone:
Your answer
Cell Phone:
Your answer
Child's Shirt Size:
Your answer
Is the child attending with a relative or friend? If so, please provide the name(s) of the other children who are attending. This may be used to place children in groups. If you want the children in the same or different groups, please indicate this as well:
Your answer
Emergency Contact Name:
Your answer
Emergency Contact Phone Number:
Your answer
The following individuals are authorized to deliver and pick up campers (Adults must come into the church with photo ID and sign out the campers each evening): Provide NAME and PHONE
Your answer
Are there any allergies/medical conditions that the volunteers at RLC need to know about the camper?
Your answer
Please describe any special needs (hearing, visual, physical):
Your answer
Some of the activities will be held outside. Do you permit your child to participate in activities outside?
Resurrection Lutheran Church plans to take photos or videos for archival and promotional purposes. Do we have permission to take photos or videos of your child participating in the program?
Does RLC have permission to use the photos or videos on bulletin boards around the church, in programming, or in marketing materials (including website and social media)?
Waiver: In case of an accident requiring medical treatment, I authorize that I/my child receive such treatment as the volunteers deem appropriate. I also agree not to hold Resurrection Lutheran Church or persons acting on its behalf, responsible for injuries suffered by myself/my child during activities sponsored by RLC.
How many volunteer helpers can we count on from your family? Please indicate number of adults, high-school, and middle-school aged helpers.
Your answer
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