Vacation Bible School (VBS) Registration at Our Savior Lutheran Church
Children ages 4-12 (Must be potty trained) One form per child
Email address *
Child's Name *
Your answer
Gender *
Grade Entering in Fall *
Your answer
Birthday *
MM
/
DD
/
YYYY
Age *
Your answer
Parents' Name(s) *
Your answer
Address *
Your answer
Parent(s) Home Phone or Cell Phone *
Your answer
Parent(s) Email address *
Your answer
In Case of Emergency - Contact Name(s) and Phone Number(s) *
Your answer
Food Allergies or any Medical Problems *
Your answer
Siblings attending VBS (names and ages)
Your answer
Special Requests for Children to be Placed in the Same Group
Your answer
Do you have a Home Church?
Name of Home Church
Your answer
Brought and picked up by: *
Your answer
How did you hear about our VBS?
Your answer
Enrolled at In His Arms Summer Childcare at Our Savior? *
If enrolled, which days do you attend?
Your answer
I would like to learn more about Our Savior Lutheran Church
I would like to learn more about In His Arms Childcare at Our Savior
I am interested in helping with VBS
A copy of your responses will be emailed to the address you provided.
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