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VBS Registration 2023
VBS at Trinity Free Lutheran Church
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* Indicates required question
Child #1 - name, age, and grade compelted
*
Your answer
Child #2 - name, age, and grade completed
Your answer
Child #3 - name, age, and grade completed
Your answer
Child #4 - name, age, and grade completed
Your answer
Do any of the children listed have food allergies? (If yes, include name of child and allergy)
Your answer
Do any of the children listed have medical concerns? (If yes, include name of child and medical concern)
Your answer
Parents Names
*
Your answer
Home Address
*
Your answer
Parent Phone #
*
Your answer
Emergency Contact (List Relation to Student)
*
Your answer
Emergency Contact Phone #
*
Your answer
People who may pick up the children listed on this form
*
Your answer
VBS leaders have permission to photograph/film the minor(s) designated above in any
manner or form for any lawful purpose associated with this VBS program.
*
Yes
No
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