VBS Registration 2021 ~ In Person or Box Pick up
God's Wonder Lab VBS

Where: Trinity Lutheran School ~ 105 Allen St. Jenera
When: Monday, July 19 - Friday, July 23
6:00-8:00 PM
Who: Children age 3-entering 6th grade
Please fill out this form to register for VBS in person or a VBS box.
Parent's Name *
Email *
Address *
Phone number *
Number of Children Participating *
Name of first child *
Age of first child *
Grade entering in the fall *
Name of second child
Age of second child
Grade entering in the fall
Name of third child
Age of third child
Grade entering in the fall
Name of fourth child
Age of fourth child
Grade entering in the fall
Do you have a church you regularly attend? *
Do any of the children have allergies or other medical concerns of which we need to be aware? *
Will your children be attending VBS in person or picking up a box to participate at home?
Clear selection
How did you hear about the program? *
In what format would you like to receive VBS music? *
I hereby give my consent as the parent/guardian of the above named child/children to attend/participate in the VBS program at Trinity Evangelical Lutheran Church/School. My child and I hereby release, indemnify, and hold harmless the church, school, its employees and/or volunteers from any and all liability from any claim, injury, or loss sustained by or during my child's participation during VBS. I hereby authorize Trinity Evangelical Lutheran Church/School to take and use photography and/or video of my child for crafts, keepsakes, or promotional purposes in any type of media and understand I will not be compensated for any such use. Please type your name in the box below agreeing with this consent form. *
How would you like to receive confirmation of your attendance or box pick-up? *
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