VBS Registration - Shepherd of the Valley Lutheran (AALC)
June 7th - 11th, 2021  -  8:30am to NOON  -  We are visiting the Rainforest!
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Email *
DONATION $30 per child
Copy the URL address BELOW to go to the PAYMENT form, or you can GO BACK to the SVLC website and click on the Link there.

https://secure.usaepay.com/pay/dnkt6j439xmjznsgb/3eSCKss2
REMINDER:
ALL ONLINE REGISTRATION OPTIONS WILL BE CLOSED ON JUNE 4th, 2021.  IF YOU DO NOT REGISTER ONLINE BY JUNE 4th, YOU WILL NEED TO REGISTER ON SITE ON THE MORNING OF JUNE 7th.
Fill in ALL Required Information Below and SUBMIT
Child's Name (First/Last) *
Child's Age *
Grade Completed this LAST School Year (2020-21) *
Parent(s) Name(s)  (First/Last) *
Home Address *
City and Zip Code (ex: Sidney 59270) *
Cell or Home Phone Number *
Emergency Contact Number *
Emergency Contact Person
Please List ANY Allergies or medications the child has (if none, then please type "no allergies") *
Name of Home Church (ex: Shepherd of the Valley Lutheran) *
Please Choose One of the sizes below *
Submit
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