Nazareth VBS
Ages 3 - 12
June 23 - 27, 2024
6:30 - 8:00 pm nightly; Thursday night there will be an extended program starting approximately 8:15pm.
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Parent/Guardian's Name(s) *
Contact Phone Number  *
Home Mailing Address *
Emergency Contact Number
In lieu of parent/guardian listed, I give permission for the following individual(s) to pick my child up from VBS: *
Name of Child: *
Age of Child (by June 30, 2024) *
Size of t-shirt *
Name of Child:
Age of Child (by June 30, 2024)
Size of t-shirt
Name of Child:
Age of Child (by June 30, 2024)
Size of t-shirt
Name of Child:
Age of Child (by June 30, 2024)
Size of t-shirt

Are there any allergies (food, seasonal, medications, other) that the church should be aware of?  

If yes, please explain and clearly indicate the child’s name if you are registering more than one child.  

Does your child have any medical or special needs, including any medications currently being used?  

If yes, please explain and clearly indicate the child’s name if you are registering more than one child.  

Would you prefer a music CD of the songs from VBS or a digital download code?    
 *
Photo Release: Do we have permission to use pictures of your child(ren) on social media, websites, or publicity?  
 *

I (we) the undersigned parent(s) or guardian(s) of the child(ren) listed above on this registration form authorize the adult volunteers of Saint Paul Lutheran Church’s Bible Camp as agents for the undersigned, to consent to any medical care necessary while in attendance at Saint Paul Lutheran Church’s Bible Camp.  I further release Saint Paul Lutheran Church’s Bible Camp, any of its ministries, leaders, or chaperones, in the event of an accident occurring while in attendance at the program that is not related to intentional misconduct or gross negligence.  In addition, I (we) give consent for the child(ren) listed above on this registration form to participate in the activities occurring within the Saint Paul Lutheran Church’s Bible Camp.

Please type your name to confirm that you have read the statement.

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