Peace Lutheran Church VBS Registration Form

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We're ready to have an adventure at Camp Firelight VBS this summer! Join us June 24-27 from 9:30-12 every morning.

Please fill in one registration form per student that will be attending.

Students from 3 years old (who have finished a year of preschool) through those who just finished 5th grade are welcome to attend!

Full name of student *

Age *

Last grade completed *

Gender *

Female

Male

Parent/Guardian full name *

Email *

Phone *

Emergency Contact Name *

Emergency Contact Phone Number *

Who is authorized to pick up this student from VBS? *

Student's t-shirt size *

Any allergies or medication? *

Is there another attendee you wish your student to be in a group with?

I authorize Peace Lutheran to take and use photos of my student. *

Yes

Anything else we need to know about your student?

Submit

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