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Registration
for
2023 Vacation Bible School
at
Trinity Lutheran Church

Registration Form: Complete and submit one per child attending VBS...

Name of Parent or Guardian *

Child's Name *

Grade *

Birthdate *

Street Address *

City *

Zip*

Parent's Email *

Mom's Work Number

Dad's Work Number

Mom's Cell Number

Dad's Cell Number

Emergency Phone Number *

Person to contact in case of emergency *

Name and Phone of Preferred Doctor or Hospital *

Facts about child's medical history, including alergies, medications, and physical limitations

Dietary Restrictions?

Permission to use photos and videos?

Select an option
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