VBS 2017 A Mighty Fortress Registration

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Concordia Lutheran Church Greenwood's Vacation Bible School Registration Form

Child's Full Name *

Grade in Fall *

Age *

Parent's or Legal Guardian's Name *

Home Address *

City and Zipcode *

Family's Home Church *

Primary Phone Number *

Secondary Phone Number

Emergency Contact's Name *

Emergency Contact's Relation to Child *

Emergency Contact's Phone Number *

Does your child have any known allergies or other information we should know? *

Food allergies? Medication allergies? Outdoor related allergies (bees, grass, etc.)? Child carries an Epipen, etc.

We make a powerpoint for VBS, use pictures in our newsletter, and etc.: *

You DO have permission to use my child's picture in Concordia's VBS powerpoint, media, and publications and I expect no compensation for the use.

You do NOT have permission to use my child's picture in Concordia's VBS powerpoint, media, and publications.

Will you please ask me when I bring my child to VBS the first day.

Is there anything else you would like to share?

Examples: we'll only be at certain days of VBS, my child has a friend at VBS and wants to be in their group, etc.

Submit

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