VBS Sign Up 2017
Child's Name
Your answer
Gender
Child's Age
Ages 4 by September 4th (potty trained)-6th Grade
Your answer
Date of Birth
MM
/
DD
/
YYYY
Last grade completed
Your answer
Any friends you would like child to be placed with
Your answer
Would you like to purchase a copy of the VBS Music CD for an additional $5?
The cost for this years VBS is $7.00 per child and $5.00 for siblings. Please refer to page below for payment info. It's not a direct link as you'll need to copy and paste. If paying by credit card please put VBS, last name of child & CD (if your purchasing one) in the designated funds area. http://www.firstlutheranpo.com/vacation-bible-school-2017-hero-central/
Your answer
Name of parent(s)
Your answer
Address
Your answer
Phone number
Your answer
E-mail address
Your answer
Emergency Contact Name and phone number
Your answer
Who can pick up your child
Your answer
Allergies or Medical concerns
Your answer
May we publish photos of your child participating in VBS activities on our website and facebook page?
How did you hear about our VBS?
Your answer
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