Bethlehem Lutheran Church VBS 2019
VBS 2019 Registration

Sunday, July 7: picnic at 11:30 AM, followed by VBS from 12:15-1:45 PM
Monday, July 8, through Thursday, July 11: dinner at 5:30 and activities from 6:00-7:30 PM

We encourage you to sign up your Pre-K through 5th grade kids!

Any questions can be directed to the church office at (319) 266-3541.
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Name of Child (First & Last) *
Child's Age *
Child's grade in Fall 2019 *
Does your child have allergies?  If yes, please explain. *
Does your child have any special needs (health, dietary, physical, etc.)? If yes, please explain. *
Please provide parent/guardian names, addresses, telephone number, and email addresses. *
Please provide an emergency contact name and phone number.
Please list who is allowed to pick up your child.
What is the name of your home church?
T-shirt size
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