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VBS Counselor Application
Vacation Bible School
June 17-20
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Gender
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Street Address
*
Your answer
City
*
Your answer
State
*
Choose
Wisconsin
Other
Zip Code
*
Your answer
Student Cell Number
*
Your answer
Best way to contact you
*
Text
Email
Phone Call
Member of Trinity Lutheran
*
Yes
No
School Attended 2023-2024
*
Your answer
Grade Completed 2023-2024
*
9
10
11
12
Other:
Parent/Guardian Name
*
Your answer
Parent/Guardian Phone Number
*
Your answer
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