Concordia Lutheran Church                                   2021 VBS - God's Wonder Lab
Who: Children ages 3-12 (with their parent(s) or guardians(s))
When: August 1st-5th from 6:30-8:30P
Where: Concordia Lutheran Church, 1805 Main St., Williston, ND 58801
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Child Registration
For each child, please submit a separate registration
Child's Name *
Age *
Allergies/Other Medical Issues *
Days Anticipated to Attend (Check All that Apply) *
Required
How did you hear about our VBS?
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Parent/Legal Guardian Contact Information
Name *
Address *
City *
State *
Zip Code *
Email
Emergency Phone Number *
In case of an emergency, please provide the best contact number that you can be reached at during VBS.
Church Information
Home Congregation
City
State
Photo Release & Consent
Photo Release *
Occasionally, Concordia Lutheran Church has a use for pictures taken at VBS to be used in local newspapers, on our website, on our Facebook page, etc.  Please indicate which of the following information about your child can be published:
Consent *
By checking the box below, you agree to release the teachers, supervisors, and staff of Concordia Lutheran Church and her Vacation Bible School (VBS) program from responsibility for accidents or illnesses that may occur during VBS to the child you are registering.  In case of emergency, you, the parent/legal guardian of the above named child, give permission to the adult volunteers of Concordia Lutheran Church's VBS to secure proper treatment for the health, comfort, and well-being of your child until you can be reached.
Required
Acknowledgement & Agreement *
By checking the box below, you acknowledge that, due to concerns with the COVID-19 virus, Concordia Lutheran Church is requiring a parent or guardian to attend who will ensure that his/her child(ren) will maintain the recommended social distancing from others and agree to comply with this.
Required
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