"Celebrate the Savior" VBS: June 17-20, 2024 9:00am-12noon

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For Children: Age 3 years(fully toilet-trained) to those children entering 5th grade in the Fall 2024

St. Stephen Lutheran Church
3795 Sashabaw Rd.
Waterford, MI 48329
248-673-6621

***PLEASE SUBMIT ONE REGISTRATION PER CHILD***

Email *

Child's name *

Child's Age *

School Grade Entering in Fall 2024 *

Preschool

Kindergarten

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

Parent's Names *

Home Address *

Parent's Cell Phone Numbers *

Emergency Contact Person & Phone Number *

List People who May Pick Up Child from VBS *

Food Allergies (Please List) *

Medical Concerns (Please Explain) *

VBS Leaders have permission to photograph/film the minor designated above in any manner or form for any lawful purpose associated with this VBS program. *

Yes

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