Immanuel Lutheran Church
                     of Almelund, Minnesota

         

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VACATION BIBLE SCHOOL FAMILY REGISTRATION 2017 Additional Children of: (Parents names) _________________________________

Child’s Name_________________________________________________ Gender M F

Birthday _________________________ age__________ grade completed_____________

Food allergies? Y / N List:__________________________________________________

Medical concerns? Y / N List:_________________________________________________

Transportation Needed? Y / N Attendance: 1 2 3 4 5

Notes:

Child’s Name__________________________________________________ Gender M F

Birthday _________________________ age__________ grade completed_____________

Food allergies? Y / N List:__________________________________________________

Medical concerns? Y / N List:_________________________________________________

Transportation Needed? Y / N Attendance: 1 2 3 4 5

Notes:

Child’s Name_________________________________________________ Gender M F

Birthday _________________________ age__________ grade completed_____________

Food allergies? Y / N List:__________________________________________________

Medical concerns? Y / N List:_________________________________________________

Transportation Needed? Y / N Attendance: 1 2 3 4 5

Notes:

Additional Adults Attending 2017 Intergenerational VBS

Name ________________________________________________________________

Food allergies? Y / N List:__________________________________________________

Medical concerns? Y / N List:_________________________________________________

Cell: ____________________ email: ____________________________

Relationship to child(ren) registered: _______________________________

Name ________________________________________________________________

Food allergies? Y / N List:__________________________________________________

Medical concerns? Y / N List:_________________________________________________

Cell: ____________________ email: ____________________________

Relationship to child(ren) registered: _______________________________