VBS 2018

June 10-14, 2018

6:00 PM - 8:15 PM

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VBS Registration

Please fill out a registration for each child attending.  Thank you.

Parent Name *
Parent Name
Parent Phone Number *
Parent Phone Number
Parent Address *
Parent Address
Secondary/Emergency Contact
Name
Name
Phone *
Phone
Youth Information
Name
Name
Release
Please note that answering "No" to the Medical Release will prevent your child from attending VBS. If you answer "No" to the Photography Release, your child(ren) will be given a special indicator to wear that will let staff know that they will not be able to take a picture of the child(ren). Medical Release * I, the parent or guardian of the child(ren) previously entered into this form, give permission for my child(ren) to participate in this activity and I appoint agents of Our Saviour Lutheran Church, who are acting as leaders of the activity to seek appropriate medical and dental treatment, and any other emergency actions as may be necessary and in the best interests of the child(ren). I understand that the agents of Our Saviour Lutheran Church will make a reasonable attempt to contact me as soon as possible in the event of a medical emergency involving my child(ren).
I give permission for my child(ren)’s pictures to be taken and used for promotion (not exclusively but including the church website), service slideshows, and VBS related activities.
What is your relationship to the child being registered? (ie. Parent, Guardian, etc.)
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