VBS Registration 2024
Immanuel, St John, and St Patrick churches present VBS - SCUBA
Dates are July 21-25 , 5:30-8:15pm
Cost is $10 which includes t-shirt, music disc or download, 5 meals/lessons/art activities, and endless fun!
Payments can be made at  Giving - Immanuel Lutheran Church (immanuelindee.com)   or mailed/dropped off to the church office at 512 5th St NE, Independence, IA 50644
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Student 1 last name *
Student 1 first name *
Student 1 - Grade completed 5/2024 *
Student 1 allergies *
Student 1 t-shirt size (t-shirts not guaranteed after July 1st  registration deadline)
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Student 2 Last name
Student 2 First name
Student 2 - Grade completed 5/2024
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Student 2 allergies
Student 2 t-shirt size
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Student 3 Last name
Student 3 First name
Student 3 - grade completed 5/2024
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Student 3 allergies
Student 3 t-shirt size
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Parent/Guardian Last name *
Parent/Guardian First name *
Parent/Guardian phone number *
Parent/Guardian email *
Address *
I prefer to receive my VBS music as a: *
Our home church is: *
I give permission to photograph my child(ren) and post photos (without names) on Immanuel website and facebook pages and/or in Immanuel newsletter. *
I would be interested in helping with VBS in some way. *
Required
Any other information we need to know to help your child(ren) have a great week of VBS?
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