· Web viewVBS ____ My children need transportation . from. VBS. Suggested donation of $15 per...

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Salem Lutheran Church VACATION BIBLE SCHOOL 21276 Archibald Rd June 17-21, 2013 Deerwood MN 56444 9:00 a.m. - Noon 218-534-3309 www.salemdwd.org One Registration Form per Family for Age 3 - Register by May 31 to receive a free VBS Button DATE RECEIVED _______ (office use only) 1 st Child ______________________________ Age _______ Date of Birth _______________ Grade Completed_________ (crew # ___) 2 nd Child ______________________________ Age _______ Date of Birth _______________ Grade Completed_________ (crew # ___) 3 rd Child ______________________________ Age _______ Date of Birth _______________ Grade Completed_________ (crew # ___) Parent(s)/Guardian Name (s) _________________________________ ______________________________ Address_____________________________________________ City_____________________ State ______ Zip ______________ Home Phone ____________________ Cell Phone ___________________________ Email Address _____________________________________ Home Church ___________________________________ Allergies/Medical Conditions: Child’s Name ____________________- _____________________________________________________________________________ _________________________________________________________________________________ _______ In case of emergency, contact: ______________________________ Phone ___________________________ Relationship _______________________________ This person has permission to transport my child: _____________________________ Relationship __________________________________________ ____ I will provide transportation for other children ____ My children need transportation to VBS ____ My children need transportation from VBS

Transcript of   · Web viewVBS ____ My children need transportation . from. VBS. Suggested donation of $15 per...

Page 1:   · Web viewVBS ____ My children need transportation . from. VBS. Suggested donation of $15 per child to help with VBS expenses – OR $30 per family if 3 or more children (No child

Salem Lutheran Church VACATION BIBLE SCHOOL21276 Archibald Rd June 17-21, 2013Deerwood MN 56444 9:00 a.m. - Noon218-534-3309 www.salemdwd.org

One Registration Form per Family for Age 3 - Register by May 31 to receive a free VBS Button DATE RECEIVED _______ (office use only)

1st Child ______________________________ Age _______ Date of Birth _______________ Grade Completed_________ (crew # ___)

2nd Child ______________________________ Age _______ Date of Birth _______________ Grade Completed_________ (crew # ___)

3rd Child ______________________________ Age _______ Date of Birth _______________ Grade Completed_________ (crew # ___)

Parent(s)/Guardian Name (s) _________________________________ ______________________________

Address_____________________________________________ City_____________________ State ______ Zip ______________ Home Phone ____________________

Cell Phone ___________________________ Email Address _____________________________________ Home Church ___________________________________

Allergies/Medical Conditions: Child’s Name ____________________- _____________________________________________________________________________

________________________________________________________________________________________

In case of emergency, contact: ______________________________ Phone ___________________________ Relationship _______________________________

This person has permission to transport my child: _____________________________ Relationship __________________________________________

____ I will provide transportation for other children ____ My children need transportation to VBS ____ My children need transportation from VBS

Suggested donation of $15 per child to help with VBS expenses – OR $30 per family if 3 or more children (No child will be turned away because of inability to pay ) Please make checks to: Salem Lutheran Church

******Registration fee includes a bandana for each child – NO T-SHIRTS THIS YEAR! ******

PARENTS / GRANDPARENTS / OLDER SIBLINGSSome of you may be available to help with VBS. If so, please fill out the following section.

YOUR NAME ___________________ Thank you!

Page 2:   · Web viewVBS ____ My children need transportation . from. VBS. Suggested donation of $15 per child to help with VBS expenses – OR $30 per family if 3 or more children (No child

I am available to help: Monday Tuesday Wednesday Thursday Friday (Please circle)

I enjoy working with children of the following age: Preschoolers Elementary age (Please circle your preference)

I am willing and available to help in the following areas during VBS:____ Crew leader ____ Games ____ Registration ____ Helper in any area ____ Friday Clean up ____ Arts & Crafts ____ Kitchen ____ Decorating ____ Nursery Care (8:45 – 12:15)