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“REGISTRATION — VBS STUDENT”

2019 Grace Lutheran VBS June 23-26th

“CLOCKWORKS”

“Teach us to number our days, that we may gain a heart of wisdom.”

— Psalm 90:12

Sunday June 23 through Wednesday June 26 with Closing Finale at 8 PM.

VBS — Supper: 5:30 pm Classes: 6:25-8:15 pm


 

Child's FIRST Name

Child's LAST Name

Parent Name

AGE Use grade for next school year

Address

City

State

Zip

Cell

Food Allergies or Medical Problems

Email

T-shirt size or NOT (Select T-shirt size or No T-shirt line)
Suggested: Order your T-shirt a size larger than you normally wear.

(Checks should be made out to Grace Lutheran Church with "VBS T-Shirt" in the memo Or you can purchase online, see VBS page)

Payment Type?

Siblings in VBS (Names and Ages)

Home Church

Emergency Contact Person

Relationship to student

Cell of emergency contact

Persons Picking up your Child at the end of each night (No more than three choices. No other persons will be allowed to pick up your child—New This year-- pick up policy at glcna.com

1st Named pickup person

2nd Named pickup person

3rd Named pickup person

Additional Notes