Trinity Lutheran Church VBS 
Registration Form due by May 27th.  (One form for each child) 
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VBS June 3 - 7, 2024 at 8:30a.m. - 11:00a.m.  
Student Name  *
Date of Birth  *
MM
/
DD
/
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Age of child  *
Gender  *
Required
Grade Completed  *
Allergies *
Medical Issues or Special Needs  *
Parent(s) Name  *
Street Address *
City, State, and Zip Code  *
Phone Number  *
E-mail  *
Emergency Contact  *
Emergency Phone #  *
People who are allowed to pick up my child  *
Home Church 
Permission to Attend:  I give permission for my child (named above) to attend the Vacation Bible School listed above.  I understand that the information I give will only be used by the VBS hosting church.   By signing this form below, you are stating the information given is correct above.   *
Trinity Lutheran Church does not have a basement.  In the event of severe weather, children will be moved to windowless restrooms and hallways.  If you prefer to come and pick up your child, you are welcome to do so.  
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