Form - Vacation Bible School - REJOICE LUTHERAN CHURCH

Vacation Bible School

Register your child by filling out the information for each child you wish to attend Vacation Bible School.

Shipwrecked: Rescued by Jesus
runs Sunday, August 12 through Wednesday, August 16 from 6-8:30 p.m.

Fees: $10 per child or $20 per family
Make checks payable to Rejoice Lutheran Church

* Indicates required field

Child's Name *

First

Last

Child's Gender *

Birthdate *

Last school grade completed *

Name of Parent(s) *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone Number *

Cell Phone Number *

Email *

Home Church *

Photo Release

I grant permission for all photographs taken of the above listed child enrolled in Rejoice Lutheran Church Vacation Bible School to be used for crafts, publicity, or advertising for the program. *

Emergency Contact

Allergies or other medical conditions *

In case of emergency contact *

First

Last

Phone Number *

Relationship to child *

Submit