VBS Registration Form

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Grace Lutheran Church & School
Vacation Bible School
Friday, June 16 2023
5:30pm-8:30pm

Email *

Parent(s) Name *

Address *

Home Phone *

Emergency Contact & Phone Number *

Church Home

Student Name(s) *

Please include the grade the child will enter in the Fall

Little Ones-Under Age 3

We will be offering a special class for the little ones that are age 3 and under. Parents are asked to stay and join in the fun! Please include child's name and age.

I give Grace Lutheran permission to use pictures of my child(ren): *

We will be taking pictures that evening, so please let us know by indicating below that we can use a picture of your child(ren) on our website or Facebook.

Yes

Required

A hot dog and mac & cheese dinner will be served promptly at 5:30pm.

How many from your family will be attending?

Does your child have any allergies? If so, what are they?

Grace Lutheran Church Liability Statement *

I give permission for my child to participate in Grace Lutheran Church and School’s VBS program. I assume the risk of injury and/or illness to my child because of their participation in this event. I give up any claim for damages that I may have against Grace Lutheran Church and School.

Agree

Required

Bonfire will be held at 8:30pm (weather permitting) after VBS.

If your child would like to attend the bonfire, he/she will need to be accompanied by a parent/guardian.

Yes- We will be there!

A copy of your responses will be emailed to the address you provided.

Submit

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