Trinity Lutheran Church, Pitsburg Ohio
A Congregation of the Evangelical Lutheran Church In America (ELCA)
Registration Form: Complete and submit one per child attending VBS...
Name of Parent or Guardian *
Child's Name *
Street Address *
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
Permission to use photos and videos?