VBS Registration and Permission (for Child)
Thank you for your interest in our Vacation Bible School Program this summer at Redeemer Lutheran Church of Hinsdale, Illinois! Our program, Created to Be will take place Monday through Friday, 5:30-7:30 June 10-14 2024. 

Please complete a separate registration form for each child who plans to participate in our Vacation Bible School Program this summer. 
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Email *
Child's Name *
Date of Birth *
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Child's Age *
Last School Grade Completed *
Child's Gender *
Name of Parents/Caregivers  *
Street Address *
City *
State *
Zipcode *
Parent/Caregiver Home Phone Number
Parent/Caregiver Cell Phone Number *
Parent/Caregiver Email Address *
Home Church *
If Parent/Caregiver is not available in the event of an emergency, notify:
Emergency Contact Name *
Emergency Contact Phone *
Emergency Contact Relation to Child *
I hereby authorize the following adults to pick up my child from VBS (please include the Name, Phone number, and Relation to Child for each contact listed): *
If there are any special instructions, or any persons who are never authorized to pick up your child, please list them here: *
I hereby enroll and give permission for my child to participate in the planned activities of Redeemer Lutheran Church. I understand and am responsible for transportation to and from Vacation Bible School. I further give permission for Redeemer to use photos and videos of my child (unless otherwise noted), and I understand that I may revoke this consent at any time. (type name as electronic signature)   *
Date *
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