Student Registration Form

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The American Lutheran Church of Windom
"Tree of Healing" Vacation Bible School
July 31st- August 4th, 2022
Sunday- Thursday Evenings 5:30-8:00pm
Offered to ALL kiddos (regardless of denomination) completing Nursery-5th Grade.
(Nursery indicates one year of preschool under the belt, Pre-K indicates two years of preschool completed and entering kindergarten in the fall)
Director Contact: Tera Elness, Christian Education Coordinator, teraalc@gmail.com, 507-822-3377

Today's Date:

YYYY

Child's Name:

Grade Completed (2022):

DOB (Date of Birth):

YYYY

Age:

Allergies, Health Concerns, Special Needs:

Is there anything you would like us to know about your child?

Additional Children you wish to Enroll (Child 2)

Please include: name, age, date of birth, grade, allergies/health concerns/special needs, anything else we should know.

Additional Children you wish to Enroll (Child 3)

Please include: name, age, date of birth, grade, allergies/health concerns/special needs, anything else we should know.

Additional Children you wish to Enroll (Child 4)

Please include: name, age, date of birth, grade, allergies/health concerns/special needs, anything else we should know.

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