Vacation Bible School 2019
Parent's First Name*
Parent's Last Name*
Home Address*
City, State, Zipcode*
Telephone Number*
Email Address*
Do you have a church home?*
If so, what is your church home?
Child's Name*
Child's Age*
Last Grade Completed in School*
Child's Name
Child's Age
Last Grade Completed in School
Child's Name
Child's Age
Last Grade Completed in School
If more than 3 children will be attending, please include any additional names, ages, and the last grade completed in school:
Please indicate any allergies (food or otherwise) or special needs your child or children may have:
Do you give permission for pictures of your child(ren) to be used on our website or Facebook page for the promotion of our Vacation Bible School? [Your children's names will not be included.]*
I am interested in learning more about:
 The Bible
 The Springs Lutheran Church
 Kids' Events at The Springs


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