Vacation Bible School Registration Form

Trinity Lutheran Church

Child's Name *
Child's gender *
Child's age *
Date of Birth *
Last school grade completed *
Name of parent(s)/Guardian(s) *
Street address
City
State
Zip code
Home telephone
Parent/caregiver’s cell phone
Home email address
Home church
Allergies or other medical conditions
In case of emergency, contact *
Emergency contact phone *
Emergency contact - Relationship to child *
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