VBS Registration - Participant
Sign up your children for Galactic Starveyors VBS at Grace Lutheran Church
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Email *
Participant First Name *
Participant Last Name *
Date of Birth (mm/dd/yyyy) *
Gender *
Grade Entering *
Shirt Size *
Parent/Guardian First Name *
Parent/Guardian Last Name *
Address *
City *
Zip Code *
Contact Phone #1 *
Contact Phone #2
Parent/Guardian Email *
Allergies *
Medical Issues *
Emergency Contact Name *
Emergency Contact Phone *
Emergency Contact Relationship *
How would you prefer to pay for VBS registration?
If sending a cash or check, please put in an envelope marked "VBS Registration"
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How did you hear about Grace's VBS? *
If you are not a member of Grace, what is your home church? (If none, please input "none.") If you would like information on Grace Lutheran Church or Grace Lutheran School, please tell us which and how we can best contact you.
Do you consent to the staff taking pictures or videos of your child during VBS, which may be used by Grace Lutheran Church in future promotional materials? *
Please type your name and today's date as your electronic signature to confirm that you agree with the Liability/Waiver statement below. *
I, the parent/legal guardian of the registered VBS child(ren), allow him/her/them to attend Weird Animals VBS at Grace Lutheran Church. I understand that Grace Lutheran Church and School and all volunteer sponsors or supervisors assume no financial responsibility for the participants. I agree to indemnify and hold harmless the Church Board of Directors, the Pastors, Church Staff, School Staff, and all approved volunteers of claims, damages, demands or causes of action resulting directly from the activities of Grace Lutheran Church and School. Further I authorize the above mentioned group members to secure medical treatment from a doctor or a hospital in the event the participating person(s) is/are injured at any time during this event.
A copy of your responses will be emailed to the address you provided.
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