2018 Preschool Vacation Bible School ::: Registration Form
This year's Preschool Vacation Bible School will be July 16-20, 2018, at St. Paul Lutheran Church in Westerville, Ohio from 9 a.m. - 11:45 a.m. Our theme this year is JESUS CHANGES EVERYTHING!

This program is for children ages 3 1/2 (and potty trained) to entering kindergarten in the fall. The children will enjoy Bible stories, crafts, games and music.

There will be a family picnic on Thursday, July 19th beginning with your children at 6 p.m. During the program the children will share songs and skits of what they had learned during the week.

Cost for the week is $15 per child which includes all craft supplies, and daily snacks. This preregistration form will "pencil in" your child for our upcoming VBS program. Please fill out one form per child. Your registration will be finalized upon payment. If you have a financial concern, please see Pastor Rebecca Grate of Pastor Jonathan Bull, as confidential scholarships are available.

Child's First Name *
Your answer
Child's Last Name *
Your answer
Nickname
(if applicable)
Your answer
Date of Birth *
mm/dd/yyyy
Your answer
Child's Age *
All participants must be potty trained.
Child's Gender *
Has your child participated in a structured program before? *
(preschool, VBS, etc)
Mother's First and Last Name *
Your answer
Father's First and Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
Zip Code *
Your answer
E-MAIL *
This will be used to send our daily newsletters, links to pictures, and announcements/reminders.
Your answer
Daytime Telephone Number *
(xxx-xxx-xxxx)
Your answer
Cell Phone Number
(xxx-xxx-xxxx)
Your answer
The following persons are permitted to pick up my child from VBS: *
Please list the names below(include parent names). In order to ensure safety, these persons may be asked to present photo identification.
Your answer
Emergency Contact Name(s) and Phone Number(s) *
Please list in order of preference. (John Doe, 555-555-5555)
Your answer
Preferred Hospital *
Your answer
Dentist's Name *
Your answer
Physician’s Name *
Your answer
Allergies, medical concerns, or any special needs *
If none, please type in NONE.
Your answer
EMERGENCY MEDICAL CONSENT MUST BE COMPLETED IN ORDER TO ATTEND CHURCH ACTIVITY. *
By clicking yes, you agree to the terms above.
Required
MINOR PHOTO RELEASE *
By clicking yes, you release all claims against the church with respect to copyright ownership and publication including any claim for compensation related to use of the materials.
Required
How did you hear about this program? *
Would you like to volunteer? *
In order for us to provide the very best program for the children, we are in need of volunteers. Please consider volunteering if able. You  can  volunteer  for  certain  days  or  the  whole  week.
Would you like to donate items?
In order for us to keep costs low, we depend on snack donations. To sign up to donate an item, please click here: www.SignUpGenius.com/go/5080C45AEAE23A7FB6-2017
Special Requests
Would you like us to place your child with another child? Please list the name of that child here. We can not gaurantee that we will be able to make this request happen, but we will try our best.
Your answer
Thank you for registering your child.  
To complete your child’s registration, click "SUBMIT" at the bottom of this form.

PLEASE MAKE CHECKS PAYABLE for $15 to ST PAUL LUTHERAN CHURCH and mail to:

St. Paul Lutheran Church, Attn: VBS, 4686 E Walnut St, Westerville, OH 43081

$15 per child includes craft supplies, and daily snacks. If you have a financial concern, please speak with Pastor Jonathan Bull or Pastor Rebecca Grate. Financial aid is available and strictly confidential.
 
All forms and payment are due by July 1st or as space provides.
 
For all questions, please e-mail LOMOVBS@gmail.com.

Don't forget to click "SUBMIT". Thank you and may God bless you and keep you until we meet again.

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