Registration Form

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Registration Form

Please complete the following questions so we can best communicate and serve you through Vacation Bible School (VBS) this summer of 2022. A new form needs to be used for each participant in a family unit.

VBS is a after program provided by Blair Lutheran, French Creek, Living Hope and Zion Lutheran of the Galesville, Ettrick, Blair Communities.

VBS will take place Monday-Thursday August 1st-4th from Noon- 5:00pm

Children participating in G-E-T Summer School at the Middle School in Galesville, can take a bus from the middle school to Living Hope Lutheran Church at 11:30 am each day or can be dropped off Living Hope as well. There will be a flexible pick-up time from 4:30 pm-5:00 pm at Living Hope to accommodate a variety of schedules.

A healthy hot lunch and afternoon snacks will be provided each day.

Thursday, Aug 4th, there will be a Closing Program at 5:00 pm with a potluck following.

If you would like to volunteer with VBS in advance or during VBS or have any questions, contact any of the following VBS Coordinators:

Zion's Director of Youth & Family Ministries: Brianna Iverson at (608) 865-0197 or YouthAndFamily.zion@gmail.com

Blair Lutheran VBS Coordinator: Angie Dummer at (608) 386-0182 or Angela.Dummer@gmail.com

French Creek VBS Coordinator: Cheri Brudos at (608) 343-1551 or CBrudos@gmail.com

Living Hope VBS Coordinator: Heidi Stoner at (608) 385-7217

Child's Name *

Child's Date of Birth *

YYYY

Child's Age *

Fall 2023 Grade (K-6th) *

Current Name of School (or Indicate Homeschooling) *

T Shirt Size *

Youth Small

Youth Medium

Youth Large

Adult Small

Adult Medium

Adult Large

How Will Your Child Travel to VBS at Living Hope Lutheran in Ettrick, WI? *

I will provide my own transportation and be dropped off at Living Hope at Noon

I will be attending Summer School at G-E-T Middle School and will take the shuttle bus to Living Hope at 11:30 am

I will take the bus from Blair Lutheran parking lot and be dropped off at Living Hope at Noon

Other

My child plans to attend the following days of VBS (Check all that apply) *

Monday

Tuesday

Wednesday

Thursday

Other:

Required

Do you have a Faith Community? If so, what one?

N/A

Blair Lutheran Church, Blair

French Creek Lutheran Church, Ettrick

Living Hope Lutheran Church, Ettrick

Zion Lutheran Church, Ettrick

I'm Looking for one

Berean Baptist Church, Galesville

Bethel Lutheran Church, Galesville

Emmanuel Alliance Church, Galesville

Faith Lutheran Church, Ettrick

First Free Church, Onalaska

First Presbyterian Church , Galesville

Hardies Creek Lutheran Church, Ettrick

Mt. Calvary Lutheran Church, Trempealeau

North Beaver Creek Lutheran Church, Blair

Trempealeau United Methodist, Trempealeau

St. Bartholomew Catholic Church, Trempealeau

St. Bridget's Catholic Church, Ettrick

St. Mary's Catholic Church, Galesville

Other:

Parent/Guardian Name *

Parent/Guardian Email *

Address *

Phone Number *

This number is a... *

Mobile

Home

Work

Other:

Can you receive texts? *

Yes

Parent/Guardian Name

Address (if different than first parent/guardian address)

Phone Number

This number is a...

Mobile

Home

Work

Other:

Clear selection

Indicate if another person(s) should receive updates about VBS because they are a Faith Mentor for your child (like a grandparent or Godparent). Add name and contact information below: Email, Phone, Address & Relation to Child.

Are there any Allergies, Dietary Restrictions, Medical Conditions or Medications being taken by your child that VBS Leaders should be aware of? For Upper Elementary female children, has your child started menstruations? If yes, is their/her menstrual history normal? If no, has menstruation been discussed? *

In case of an Emergency I hereby give permission to the medical personnel selected by the VBS Coordinator to order X-rays, perform routine tests, and treat my child, in the event I cannot be reached in an emergency. I hereby give permission to the physician selected by the VBS Coordinator to hospitalize, secure proper treatment, and order injection and/ or anesthesia and/ or surgery for myself or my child named herein. Write your name and the date to testify as your signature. Note that we will make every effort to contact you first. *

I hereby give permission to Blair, French Creek, Living Hope, Zion Lutheran Church to use my child’s picture for use in publicity. *

Yes

Other:

How would you like to receive information about VBS leading up to and during the week of VBS?

Snail Mail (Prior to VBS) & Take Home Sheets (Week of VBS)

Download from VBS webpage (http://www.ziongale.com/community-vbs.html)

Other:

This ministry is a community effort to make sure the kids in our communities are seen, known and have the opportunity to explore a God Beyond Measure who has Boundless love for them. I would be interested in supporting Community VBS by...

Praying for all involved with Vacation Bible School

Volunteer as an on-site Medic (one or more days)

Providing Snacks/monetary donations (Can be dropped off in advance)

Provide items/monetary donations for the lunch menu (Can be dropped off in advance)

Welcome Kids & Families at Daily Registration (M-Th 11:30-12:30 pm)

Working in the kitchen to provide lunch (11am-1pm one or more days)

Working in the kitchen to provide afternoon snack (2:30pm-4:00pm one or more days)

Eat with & Supervise Kids during Lunch Time (M-Th 11:45-12:30 pm)

Coordinate Crafts (this can be done in advance on your own time frame)

Work with Kids to make crafts during Craft Rotation (12:45pm-3:15pm one or more days)

Coordinate Games & Wiggle Time (this can be done in advance on your own time frame)

Work with Kids and play at Game Rotation (one or more days)

Coordinate set up and decorating space at Living Hope's Fellowship Hall (Can be done in advance)

Decorate spaces to welcome and inspire the Kids (Sunday, July 31st afternoon)

Serve as a musician for Wiggle Worship (M-Th and potential practice time in advance)

Read at Bible Story Time Station (M-Th 12:30-4:30 pm)

Write thank you notes for volunteers following VBS Program

Write postcards to connect with Kids after VBS has finished

I will comment on, like and promote social media posts leading up to Community VBS

Teaching & Leading small group Bible based lessons (M-Th 12-5:30 pm, lessons provided)

Serving as a Small Group Leader

Serving as a Small Group Assistant

I will help with clean up Thursday Night following the closing program & potluck)

Take Pictures to Capture Ministry Moments (one or more days)

I will invite children in the community to sign up for VBS

I'm not sure...Can you send me more detailed information?

I cannot share my time during this season. That is okay too!

Other:

How can we support Faith Formation in your home this 2022-2023 year?

Any Questions?

Important Contact Information

Blair Lutheran VBS Coordinator: Angie Dummer
Email: angela.dummer@gmail.com
Cell: 608-386-0182

French Creek VBS Coordinators
Julie Butman
Email: julesvball2@gmail.com
Cell: 608-797-0524
and
Cheri Brudos
Email: cbrudos@gmail.com
Cell: 608-343-1551
and
Katie Ausen
Email: katie.ausen2@gmail.com

Living Hope VBS Coordinator: Heidi Stoner
Cell: 608-385-7217

Zion Lutheran VBS Coordinator: Brianna Iverson
Email: YouthAndFamily.Zion@gmail.com
Cell: 608-865-0197

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