2023 VBS Registration
Vacation Bible School - Knights of North Castle
Tree of Life Lutheran Church

Event Dates: June 11-16, 2023 (6 pm - 8 pm)
Event Address: 1492 Linglestown Rd Harrisburg PA, 17110
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Email *
Child's Full Name *
Child's Date of Birth *
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Child's Age (all youth who are not potty trained must be accompanied by a guardian) *
Child's Grade Completed 6/1/23 *
Child's Gender *
What days will your child attend VBS? *
Required
Child's special Needs/Allergies/Medical Information/Other
Name of Parent(s)/Guardian(s) *
Parent(s)/Guardian(s) Phone Number *
Emergency Contact *
Who is authorized to pick up your child? Please include full name with contact information. 
Emergency Contact Phone Number *
Home Congregation (if any)
Photo Release: Tree of Life has my permission to use my child's photograph publicly. I understand the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee, or other compensation shall become payable to me by reason of such use.  *
A copy of your responses will be emailed to the address you provided.
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