2024 VBS Registration Form

June 24-27, 2024 at 6:00pm | Please fill out this form and click submit.

Please fill out this form FOR EACH CHILD and click Submit after filling out.

Date

*

Child's Name

*

Date of Birth

*

Name of Parent(s)

*

Address

*

I would like to help with VBS please contact me

*

Please select one option.

Yes No

Email

*

This address will receive a confirmation email

Parent/Caregiver's Phone

*

Home Church (if any)

Check class for coming year:

*

Please select all that apply.

Pre-Kindergarten (age 4) Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Friends of your child at this church

Allergies or other medical conditions (if none, type "NA")

*

Emergency Contact Name:

*

Emergency Contact Phone:

*

Advent Lutheran Church/VBS has my permission to use my child's photograph publicly in VBS materials. I understand the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee, or other compensation shall become payable to me by reason of such use.

Photo Release

*

Please select all that apply.

Yes you may photograph my child No you may not photograph my child

Description

June 24-27, 2024 at 6:00pm

Please fill out this form and click submit.

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