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VBS 2023 Registration
Please fill out the following form to register your child for VBS 2023 Theme: Water Miracles with Jesus held at Bern Lutheran Church (with Epler's Church) July 23rd-27th from 6:00 pm - 7:30 pm. All children must be ages 3 up to 6th grade.
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* Indicates required question
Email
*
Your email
Name of Child
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Grade completed
*
Your answer
Parent/Guardian
*
Your answer
Address
*
Your answer
Phone
*
Your answer
Email
*
Your answer
Will you stay with your children during VBS?
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Yes
No
Emergency Name/Contact
*
Your answer
Are there any Special Needs?
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Your answer
Are there any Allergies?
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Your answer
Is there a special friend that your child should stay with?
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Your answer
Are you a member of a local church?
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Bern Lutheran
Epler's UCC
Other
None
I give permission for my child(ren)'s photos to be taken and shared on social media and church websites?
*
Yes
No
Do you have another child to register?
*
Yes
No
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