2010 Vacation Bible School Enrollment Form

This is the form to enroll your family in Trinity Lutheran Church's Vacation Bible School to be held June 21-24, 2010.

1) Fill out one form for each family attending. Fields marked with an asterisk [*] are required. If you are registering more than 4 children, you will need to fill out a second form.

2) If a parent will not be attending with their child during all three of these evening classes, please download & print the Emergency Contact and Waver form at the bottom of this page (one for each child participating). Bring the completed form(s) with you on the first day of classes.

3) You should receive an email confirmation of your registration(s) within 72 hours of your submission.

*Please Note* - All data collected on this form will be used by Trinity Lutheran Church only. No data collected on this form will ever be forwarded to any other organization outside of Trinity Lutheran Church without your permission.

Family (Last) Name: *

Last name for family registering (e.g. Smith)

Parent 1 Name: *

Enter parent's first name. Please include last name if different from family name entered.

Parent 1 Attending?: *

Choose Yes or No

Parent 2 Name:

Enter parent's first name. Please include last name if different from family name entered.

Parent 2 Attending?:

If parent 2 name has been entered, let us know if they will be participating

Address: *

City: *

Your city of residence

Phone Number: *

Please enter the phone number where you can be contacted about your registration.

Email address: *

Enter the email address that we may use to contact you.

Are you a member of Trinity?: *

Child 1 Name:

Enter child's first name. Please include last name if different from family name entered.

Child 1 grade next school year:

Child 1 Allergies or Medical Conditions:

Use this field to inform us of your child's food allergies or other medical concerns

Child 2 Name:

Enter child's first name. Please include last name if different from family name entered.

Child 2 grade next school year:

Child 2 Allergies or Medical Conditions:

Use this field to inform us of your child's food allergies or other medical concerns

Child 3 Name:

Enter child's first name. Please include last name if different from family name entered.

Child 3 grade next school year:

Child 3 Allergies or Medical Conditions:

Use this field to inform us of your child's food allergies or other medical concerns

Child 4 Name:

Enter child's first name. Please include last name if different from family name entered.

Child 4 grade next school year:

Child 4 Allergies or Medical Conditions:

Use this field to inform us of your child's food allergies or other medical concerns

Attachment	Size
VBS Emergency Contact and Waiver Form.pdf	5.68 KB

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2010 Vacation Bible School Enrollment Form