Vacation Bible School Registration

Monday, June 12 – Friday, June 16, 9:00am – 12:00 pm
Fees are $10 / child
Registration DEADLINE is June 2
Late fees are $5 / child
Food allergies: If your child has a food allergy, send a snack each day and epi-pen. We will email the daily snack list, so you can send something safe and similar to our snack.
Upon receiving your paid registration, you will receive an email confirmation and updates from Bob Brantsch. If you do not receive an email from him, check your junk/spam folder or reach out to Bob for help.

Online Registration

Parent/Guardian Information

Name *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Number of Children for VBS *

Child #1

Child #1 - Name *

First

Last

Child #1 - Age today *

Child #1 - Grade this Fall *

Child #1 - Youth T-shirt Size *

Additional Information

Other Guardian (for drop-off, pick-up, emergencies)

First

Last

Secondary Email for VBS Updates

The email address listed in the Parent section will also receive updates

Allergies / Medical Information

Allergies, medical conditions, medications, or any other considerations regarding your child’s health – reference child # above

Photography Release *

My child(ren) may be photographed for a craft to take home.

Photography Publicity *

My child(ren) may be photographed for publicity.

Parental Agreement *

I Agree

I, the legal parent/guardian, grant my permission to attend Gloria Dei Lutheran Church, Vacation Bible School. I hereby release Gloria Dei Lutheran Church from any and all liabilities in case of accident or illness. I authorize any medical care deemed necessary by an accredited physician, nurse, medical personnel, or hospital while attending Gloria Dei Lutheran Church, Vacation Bible School. I understand that two adults may not always be in each room or enclosed space.

How did you hear about us?

What church do you attend?

Total

$ 0.00