JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
VBS Registration 2024
River of Life
* Indicates required question
Email
*
Record my email address with my response
Child's Name
Your answer
Grade FINISHED 2024 School Year (for preschoolers, enter age as of June 1)
Your answer
Child's Birthdate (Include Year)
MM
/
DD
/
YYYY
Address
Your answer
Parent/Guardian 1 Name
Your answer
Parent/Guardian 1 Phone Number
Your answer
Parent/Guardian 1 E-Mail
Your answer
Parent/Guardian 2 Name
Your answer
Parent/Guardian 2 Phone Number
Your answer
Parent/Guardian 2 E-Mail
Your answer
Allergies (Medication, Food, etc.) List or use N/A
Your answer
Anything else we should know about your child? :) Tell us, or use N/A
Your answer
I give permission to use photographs, videos and electronic images of my child in newsletters, broadcasts, web site, or other media communication formats used by English Lutheran Church.
Yes
No
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of English Lutheran Church.
Report Abuse
Forms
