2024 Salem Lutheran VBS Registration Form

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July 15-19th.
A Hot Meal will be served to VBS participants each evening from 5:00-5:25 PM.
VBS is each evening from 5:30-7:30 PM.
As of July 15th, children 3 years old through those who have completed 5th grade can plan to attend.

Email *

Child's First Name *

Child's Last Name *

Child's Street Address *

Child's Town *

Child's Shirt Size *

Youth Small

Youth Medium

Youth Large

Adult Small

Adult Medium

Adult Large

Adult XL

Adult 2X

As of July 15, my child *

is 3 years old

is 4-5 years old and has not completed Kindergarten

has completed Kindergarten or 1st grade

has completed 2nd or 3rd grade

has completed 4th or 5th grade

My child’s photo may be printed in the local newspapers to showcase the Salem Lutheran Church's VBS Endeavors. My child’s photo and accomplishments may be displayed on the church's website and Facebook page to showcase the Salem Lutheran Church's VBS Endeavors. *

Yes

Will this child plan to eat the provided meal at 5pm each evening? *

Yes

Does your child have special needs? If they have any dietary restrictions, or other necessary accommodations need to be made, please let us know.

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