Who is My Neighbor? Summer 2019 VBS Registration Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

St. John's Lutheran Church Abbottstown PA is pleased to be offering summer 2019 VBS July 9, 10, and 11. On July 9th and 10th (only), we will offer dinner for participants and their families from 5-6pm followed by VBS from 6-8pm. On July 11, we will travel to the Wittel Farm for the morning and swim at Kirchenwald for the afternoon.

Email *

Do you plan to join us for dinner at 5pm? *

Please mark all that apply

I plan to attend dinner July 9, 2019

I plan to attend dinner July 10, 2019

No, we do not plan to attend dinner either night.

Required

How many will be attending dinner? *

Which nights will you be attending VBS? *

Please check all that apply.

Night 1: July 9, 2019 6-8pm

Night 2: July 10, 2019

Required

Will you be joining us at the Wittel Farm? *

Please fill out the additional registration form if you're planning to attend the day at Wittel Farm.

Yes

Child's First and Last name *

Child's Birthday (mm/dd/yy) *

Child's age (as of July 9th 2019) *

Grade *

Please list any allergies/health concerns/special needs *

Parent or Guardian full name *

Parent/Guardian Address *

Parent/Guardian Phone Number *

Emergency Contact Name/Number (in case of an emergency during VBS) *

Who may we release your child to at the end of VBS? *

Home Congregation *

St. John's Lutheran Church

Other:

Do you consent to VBS staff administering First Aid to your child if necessary? *

Yes

Photography Consent: Do you agree to allow your child's photograph to be taken and used for church publications? *

Yes

Would you be interested in volunteering to help during VBS? *

Yes

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms