2022 VBS Registration
Vacation Bible School: God's Wonder Lab...Jesus Does the Impossible!
St. Paul's Lutheran Church, 1112 Bailey St., Sac City
Monday, June 13 - Friday, June 17, 9:00 - 11:00 AM
Concluding Program: Saturday, June 18 - 4:00 PM, meal served at 5:00 PM
Ages: Children 3-11 years old
One form per child
(REGISTRATIONS DUE MAY 30 to be guaranteed a T-shirt)
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Email *
Student Name, first and last *
Age *
Gender *
Grade just completed *
Tshirt size *
Home Church
Medical Issues or special needs:
Parent or guardian name (first and last) *
Address
Email
Cell phone number *
Emergency contact (first and last name and phone number) *
Alternate pickup person (first and last name and phone number)
General information/anything else we should know about your child
Medical release: I give permission for the VBS staff to administer basic first aid to my child (named above) in the event of an injury. I understand that the VBS staff will contact emergency services in the event of a significant injury and all such expenses will be paid by me. *
Required
Photo release: I hereby grant the above named church permission to copyright and use photographs/videos taken of the minor designated above in any manner or form for any purpose lawful at any time. I waive any right that I may have to inspect or approve the finished product or written copy, that may be used in conjunction therewith, or the use to which it may be applied. *
Caroling: I give permission for my child (named above) to walk with the leaders around the community during VBS. *
Signature: *
A copy of your responses will be emailed to the address you provided.
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