Register for Messiah Lutheran VBS 2018
Registration is for June 25-29 or July 30-August 3, 2018.

If more than 3 children are attending, please fill out more than one online form, or call 715-834-2865. You may also email to this address: messiah.ec.secretary@gmail.com

To save time the first day, you may fill out our Emergency Contact/Medical form on the screen, then print and sign (3 signatures) a copy for each child (copy and paste this address into your browser): https://goo.gl/X9dLRH

Parent or Guardian (Last Name, First Name) *
Your answer
Full Address *
Your answer
Phone Number *
Your answer
Email Address
Your answer
Session Attending *
FIRST Child's Name *
Your answer
FIRST Child's Age *
Your answer
FIRST Child's Grade Level (coming school year) *
Your answer
SECOND Child's Name (optional)
Your answer
SECOND Child's Age
Your answer
SECOND Child's Grade Level (coming school year)
Your answer
THIRD Child's Name (optional)
Your answer
THIRD Child's Age
Your answer
THIRD Child's Grade Level (coming school year)
Your answer
FOURTH Child's Name (optional)
Your answer
FOURTH Child's Age
Your answer
FOURTH Child's Grade Level (coming school year)
Your answer
How did you hear about our VBS? *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms