Our Redeemer LCMS "RIVER OF LIFE"          Vacation Bible School                                          Student Registration
Classes for PreK children who are 3 as of January 1, 2021 through students entering 6th grade in the fall of 2021.  

• All children must be Pre-registered.  
• Registration will close at 5 pm on Tuesday July 6th.
We are excited for this summer and can't wait for you to "Take a trip with us down the River of Life"

If you have more then 4 children in your family please start a 2nd document.  
1 Household per document.

Thank you


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Email *
Parent(s) name: *
Email address *
Mailing address *
Cell Phone Number (s) *
Emergency Contact name & number *
Person(s) dropping off and picking up children. *
If any of your participating children have  allergies or medical condition that we should be aware of please describe here.  
1st Child's Name *
1st Child's Birthdate & Year *
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1st Child is entering what grade this fall: *
2nd Child's Name
2nd Child's Birthdate & Year
MM
/
DD
/
YYYY
2nd Child is entering what grade this fall:
Clear selection
3rd Child's Name
3rd Child's Birthdate & Year
MM
/
DD
/
YYYY
3rd Child is entering what grade this fall:
Clear selection
4th Child's Name
4th Child's Birthdate & Year
MM
/
DD
/
YYYY
4th Child is entering what grade this fall:
Clear selection
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