Creator Lutheran Church Vacation Bible School July 29-August 2, 2019

Creator Lutheran Vacation Bible School
July 29-August 2, 2019
Ages 4 years through 6th Grade.
Grades 7-12 are invited to be helpers.
Explore where God's power can take you!
Register today by filling out this online form.

Child's Name

Parent/Guardian Name

This address will receive a confirmation email

Home Phone

Cell Phone

Address

Grade Level entering in Fall 2019

Please select one option.

Preschool Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade Youth Helper Adult Helper

Date of Birth

Alergies?

Specific Educational or Medical needs?

Emergency Contact Name

Emergency Contact Phone

Relationship to Participant

Alternate Pick up Name

Alternate Pick up Phone

Would you like to purchase a Creator Lutheran T-shirt for $12 each? It is the same T-shirt as last year. Payment is due upon receipt of shirt.

Please select one option.

Yes No

T-shirt size

Please select one option.

Child extra small Child small Child medium Child Large Adult small Adult medium Adult large Adult extra large

Name of Home Church

Would you like more information about Creator Lutheran Church and its programs?

Please select one option.

Yes No

Additional Comments?

It costs us about $25 to cover the cost of each participant. Would you please consider making a donation to help cover the cost of your child and possibly others?

Single Child Donation ($25) Other Donation Not able to donate at this time ($0)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Creator Lutheran Church Vacation Bible School July 29-August 2, 2019

Description

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