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2021 Salem Lutheran VBS Registration Form
July 19-23rd
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 19th, children 3 years old through those who have completed 5th grade can plan to attend.
Communicable Disease Waiver Form:
https://drive.google.com/file/d/1o98RF3VEInLY1N7jbabrWqzRPETlSHFW/view?usp=sharing
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* Indicates required question
Email
*
Your email
Child's First Name
*
Your answer
Child's Last Name
*
Your answer
Child's Street Address
*
Your answer
Communicable Disease Waiver (link to form found above) - Parent/Guardian Name for consent
*
Your answer
Child's Town
*
Your answer
Child's Shirt Size
*
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2X
As of July 19, my child
*
is 3-5 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
No
Will this child plan to eat the provided meal at 5pm each evening?
*
Yes
No
Please list any food allergies or health concerns below:
Your answer
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