VBS Registration 2018

VBS Registration 2018


Come to “Shipwrecked, Rescued by Jesus!
  
 
   
 
Vacation Bible School
Place:  St. Jacob Lutheran Church                             
Date:  June 11-15, 2018
Time:  9:00 a.m. – 11:30 a.m.
Ages:  age 3 through just completed 6th grade (must be potty-trained)
 
To register, complete the form below (1 per child) and return it to Kara Kipp or the box marked “VBS Registration” in the back of the church.
On-line registration is available at https://tinyurl.com/StJacobVBS2018
    ____________________________________________________
 
Vacation Bible School Registration Form
 
Name __________________________________________________
 
Birth Date ______________________Last grade completed _______
 
Known allergies or other medical concerns _____________________
 
Parent’s Name ___________________________________________
 
Address ________________________________________________
 
Home Phone___________________Work Phone _______________
 
Parents Email Address ____________________________________
 
Emergency Contact & Phone ________________________________
 
Doctor Name & Phone _____________________________________
 
Brothers & Sisters attending VBS ____________________________
 
Permission to share pictures of your child on media  Yes     No