Faith Lutheran Church and School

VBS Signup Form - July 16-20

Please complete a registration form for each child attending using the VBS Sign-up Tab above to get back to this form after submission.

Child's Name

Last School Grade Completed

Child's Gender
Boy
Girl

Child's Age

Child's Date of Birth

Siblings attending VBS

Name of Parents

Street Address

Home Email Address

Primary Contact

Relationship to Child

Primary Contact Phone Number

Secondary Contact

Relationship to Child

Secondary Contact Phone Number

Home Church

Allergies or other medical conditions (if none answer 'None")

Anyone not allowed to pick up child(ren)

Note anything more you would like us to know about your child