New Hope VBS Registration Form *Please complete one form per child
VBS will be held July 15th to 19th from 9am to noon.
Child's LAST Name *
Your answer
Child's FIRST name *
Your answer
Birthdate (Month/Date/YEAR) *
Your answer
Grade Completed this ('18-'19) school year *
Students will be grouped according to grade completed.
Please list any Allergies/ Medical or Behavior Concerns (if any)
Your answer
Parent or Custodian's Name(s) *
Your answer
Parent or Custodian's email *
Your answer
Parent or Custodian's mailing address (house #, street, city, state, zip code)
Your answer
Parent or Custodian's daytime phone number *
Your answer
Emergency Contact name and contact phone number *
Your answer
T-shirt Size *
Church Affiliations (if any)
This program is only successful with the help of over 40 volunteers! Your help is very important. Please check any of the following areas in which you are interested in helping with. You will be contacted about the specifics.
I am interested in helping in the following areas. Check all that apply.
Please add any comments about your availability or interests in volunteering.
Your answer
You may drop off or mail your payment to:

New Hope Lutheran Church
8575 Guilford Road
Columbia, MD 21046

Early Bird Fee - $25 tuition for 1 child; $40 for 2 children
and $55 for 3.
> Fees after June 9th increase to $35, $60, and $85.
 >Registration Deadline – June 16th
 >Payment due with registration. Make Checks payable to New
Hope Lutheran Church with VBS in the memo line.
> Receive a $5 tuition break per family if an adult volunteers for
the entire week.

*No child will be denied participation due to lack of money. Scholarships are available.

Please indicate your intention for payment. *
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