REGISTRATION FORM - Lutheran Church of Our Redeemer

VBS Registration form
ROAR! - Life is Wild - God is Good!
lutheran church of our redeemer
jUNE 10-14, 2019
9:00 - 1:00

* Indicates required field

Parents Names: *

Address *

City *

State *

Zip *

Phone Number *

Cell Phone *

Email *

Alternate Emergency Contact *

Emergency Contact Phone Number *

Child's Name *

Age *

Grade Completed in 2019 *

Allergies or Medical Conditions *

T-Shirt Size *

Child's Name *

Age *

Grade Completed in 2019 *

Allergies or Medical Conditions *

T-Shirt Size *

Child's Name *

Age *

Grade Completed in 2019 *

Allergies or Medical Conditions *

T-Shirt Size *

PHOTO CONSENT *

I give consent for my child(ren)s photos to be used.

Submit