VBS Registration 2019
VBS Registration 2019
Come to "MEGA Sports Camp"
Vacation Bible School
Place: St. Jacob Lutheran Church
Date: June 3-7, 2019
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 http://tinyurl.com/StJacobVBS2019
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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