Christ The Rock Lutheran VBS 2017
Participant Name(s) and Age *
e.g. Sally Jones (5), Tim Smith (8), Noah Smith (5)
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Parent's First Name *
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Parent's Last Name *
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Address *
Street, City, State, Zip
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Phone Number *
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Parent's Email Address *
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Snacks will be available. Please help us avoid any potentially harmful reactions. If anyone in your group has any allergies please list them below. e.g. Tim Smith (tree nuts)
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Registration Payment
Registration cost is $5 per child. A PayPal link will be sent to you once you have completed the registration. Please call the church office at 505-324-9739 or email at to make arrangements to pay by check or cash.
Permission to Participate and Photo Release *
The registrant has my permission to participate in Christ the Rock Lutheran Maker Fun Factory VBS 2017. I understand that while participating in Maker Fun Factory VBS activities the registrant may be photographed for print, video or electronic imaging. I understand the images may be used in promotional materials for Christ the Rock Lutheran Church. I acknowledge that these images will be the sole property of Christ the Rock Lutheran Church.
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