Online VBS Registration:

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Child's Name

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Grade completed

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Birthday

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Age

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Parents' Names

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Parents' Email

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Home Address

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Home Phone

Cell Phone

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Emergency Contact Person

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Relationship to Student

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Emergency Contact Phone

Food allergies

Medical concerns

Family Doctor

Doctor's Phone

Siblings attending VBS (names and ages)

Church Affiliation

Church Membership at

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People who may pick up child

How did you learn about Trinity Lutheran Church's VBS program?

If you are not currently a member of Trinity Lutheran Church we would like to get to know you better, and to help you get to know us better too. Would you like to be contacted?
Yes   No
If there are times when it would be better than others for us to contact you, please indicate that information.

**VBS Leaders have permission to photograph/film the minors in any manner or form for lawful purposes associated with the VBS program.
**VBS Leaders also have permission to transport students via Privately Owned Vehicle (POV) or the Trinity Lutheran’s Church Van (for the middle school program only). 

* Enter Your Email Address: