Who is my Neighbor? Registration for Day of Service at Wittel Farm
All ages are welcome to join us for a day of service, learning, swimming, and more at the Wittel Farm in Elizabethtown on July 11, 2019. A van will be leaving St. John's at 8am and will return at 4:00pm.
Email Address *
Your answer
Child's First and Last name *
Your answer
Child's Birthday (mm/dd/yy) *
Your answer
Child's age (as of July 12th 2018) *
Your answer
Please list any allergies/health concerns/special needs *
Your answer
Parent or Guardian full name *
Your answer
Parent/Guardian Address *
Your answer
Parent/Guardian Phone Number *
Your answer
Emergency Contact Name/Number (in case of an emergency during VBS at Wittel Farm) *
Your answer
Who may we release your child to when we return from Wittel Farm? *
Your answer
Do you consent to VBS staff administering First Aid to your child if necessary? *
Do you give permission for your child to swim at Camp Kirchenwald's pool (lifeguard on duty)? *
I understand that I will need to pack a swimsuit, towel, and sunscreen for my child. I will also apply sunscreen before my child leaves for the Wittel Farm. *
Photography Consent: Do you agree to allow your child's photograph to be taken and used for church publications? *
Would you like to join us at the Wittel Farm July 12, 2018? *
We welcome any parents that would like to join us at the Wittel Farm.
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