Vacation Bible School Registration
July 31 to Aug 2 from 5:00pm-7:00pm;  for Kindergarteners through 5th graders - Dinner provided!
Around the World VBS: Philippians 2:10-11
Games - Crafts - Dinner - Bible Lessons - Fun!
Location: 3059 Medco Court, La Crosse WI 54601 (next to Milwaukee Burger Company)
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Email *
CHILD REGISTRATION
Child's Name *
Child's Age *
Child's Birth Date *
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Child's Grade *
Parent/Guardian Name(s) *
Contact Information:  Cell and/or Home Phone *
Contact Information: Email *
Preferred Method of Contact *
EMERGENCY INFORMATION
Emergency Contact #1  with Phone Number *
Emergency Contact #2 with Phone Number *
Doctor with Phone Number *
Allergies or Special Needs *
DISMISSAL
Who may pick up your child each VBS day?   List name(s) and relationship. *
How did you hear about this VBS event? *
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