Vacation Bible School Registration, Immanuel
Please complete one registration for each child age 3 (toilet trained) through 4th grade.  Please complete registration in advance so we have enough materials for each child.  We are looking forward to seeing you there!
You will receive an email confirmation of your registration and a later email with further details.
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Email *
Adventure Island Vacation BIble School - August 8 - 12; 9:00 - 11:30 am
Child's First Name *
First name preferred for nametag, if appropriate.
Child's Last Name *
Parent/Guardian First and Last Name *
Parent/Guardian email - for further info, emergencies *
Child's Age *
School grade completed 2021 (use PreK for toddlers) *
Required
Child's full address, include town and zip please *
Additional emergency contact name and  phone (guardian above will be first contact) *
Persons authorized to pick up this child. *
Please provide information that will help VBS to provide a good experience for your child; allergies, learning challenges, physical accommodations needed, etc.
Immanuel Lutheran Church 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. Children will not be named in the publications. I also understand that no royalty, fee, or other compensation shall become payable to me by reason of such use. *
Required
I acknowledge that I am the parent/guardian of this child and have completed this form on their behalf. *
Required
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