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Soaring High! VBS 2021 Registration
June 21st-24th, 9:00-11:30am
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Family Last Name
*
Your answer
Parent/Guardian Name
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Your answer
Street Address, City, State, Zip
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Your answer
Email Address
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Your answer
Emergency Contact Name
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Your answer
Emergency Contact Number During Event Dates (xxx)xxx-xxxx
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Your answer
Children Attending: Name, Age, Grade (Fall 2021)
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Your answer
Permission to Photograph
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Yes
No
Allergies for any children
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Yes (describe below)
No
Description of allergies for each child
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Your answer
How did you hear about Vacation Bible School at Good Shepherd?
*
Signs
Church handout
Friend/word of mouth
Social media (Facebook, Instagram, etc.)
Other:
Do you have currently have a church home?
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Yes
No
I would like to know more about Good Shepherd Lutheran Church!
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Yes
No
I would like to know more about Good Shepherd Lutheran School!
*
Yes
No
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