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Vacation Bible School Registration
Gordon Hardy
2023-02-07T09:14:02-05:00
In 2023 we are having TWO Vacation Bible Schools.
VBS #1 is a “drop & go” event for 3 years olds through 5th grade, running daily Monday, June 12 – Friday, June 16, 9:00 AM – 12:00 PM.
VBS #2 is family led with sports rotations running Tuesday June 20 – Thursday June 22, 7:00 – 8:00 PM.
Fees for either VBS program are $10/child. Fees for both VBS programs are $15/child.
Registration DEADLINE is June 4. Late fees are $5 per child.
Register online below or return completed paper form & check to:
VBS Registration | Gloria Dei Lutheran Church |2113 Ravenna Street | Hudson OH 44236
Online Registration
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Parent/Guardian Information
Name
*
First
Last
Email
*
Phone
*
Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Which VBS are you registering for?
*
VBS 1
VBS 2
BOTH VBS 1 and 2
VBS 1 is “drop & go” for 3 years olds through 5th grade; VBS 2 is family led (see more details at top)
Number of Children for VBS #1
*
One Child - $ 10.00
Two Children - $ 20.00
Three Children - $ 30.00
Number of Children for VBS #2
*
One Child - $ 10.00
Two Children - $ 20.00
Three Children - $ 30.00
Number of Children for BOTH VBS 1 & 2
*
One Child - $ 15.00
Two Children - $ 30.00
Three Children - $ 45.00
Child #1
Child #1 - Name
*
First
Last
Child #1 - Age today
*
Child #1 - Grade this Fall
*
Preschool 3s
Preschool 4s
Pre-Kindergarten
Kindergarten
1st
2nd
3rd
4th
5th
Child #1 - Youth T-shirt Size
*
Small
Medium
Large
X-Large
Child #2
Child #2 - Name
*
First
Last
Child #2 - Age today
*
Child #2 - Grade this Fall
*
Preschool 3s
Preschool 4s
Pre-Kindergarten
Kindergarten
1st
2nd
3rd
4th
5th
Child #2 - Youth T-shirt Size
*
Small
Medium
Large
X-Large
Child #3
Child #3 - Name
*
First
Last
Child #3 - Age today
*
Child #3 - Grade this Fall
*
Preschool 3s
Preschool 4s
Pre-Kindergarten
Kindergarten
1st
2nd
3rd
4th
5th
Child #3 - Youth T-shirt Size
*
Small
Medium
Large
X-Large
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
*
Yes
No
My child(ren) may be photographed for a craft to take home.
Photography Publicity
*
Yes
No
My child(ren) may be photographed for publicity.
Photography Publicity w/ Names
*
Yes
No
May we use your child’s first and last name?
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
Continue to Payment
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