PLEASE PRINT CLEARLY…THANK YOU! 

1. Faith Lutheran Church VBS Registration Form – July 9-13, 2012 PLEASE PRINT CLEARLY…THANK YOU!  Name of Child(ren)’s Parents __________________________________________________________________________________________________ Address __________________________________________________________ City / Zip Code __________________________________________ Home Phone # ___________________________ Work # (Mom) ___________________________ Work # (Dad) ___________________________ Emergency Contact ____________________________ Relation to Child ________________________ Phone # ____________________________ E-mail address: ____________________________________________________________________________ ___Yes, I can help at VBS this year! Please prayerfully consider volunteering and complete the enclosed form. Y N ~ Do you regularly worship at Faith Lutheran Church? Y N ~Are you a Faith Child Care & Nursery School family? Y N ~Is your family member of a church? If so, which one? ___________________________________________ Child's Name: _______________________________ Boy / Girl T-shirt Size __________________ Circle one Child (S, M, L) or Adults (S, M, L, XL) $6 suggested donation per shirt Grade in Sept 2012 __________________________ (Pre-K thru 8):**Allergic To: ________________________________ **Medications Needed During VBS and Why: ___________________________________________ ___________________________________________ Is there another child that yours would like to sit with? Name: _____________________________________ Child's Name: _______________________________ Boy / Girl T-shirt Size __________________ Circle one Child (S, M, L) or Adults (S, M, L, XL) $6 suggested donation per shirt Grade in Sept 2012 __________________________ (Pre-K thru 8):**Allergic To: ________________________________ **Medications Needed During VBS and Why: ___________________________________________ ___________________________________________ Is there another child that yours would like to sit with? Name: _____________________________________ Child's Name: _______________________________ Boy / Girl T-shirt Size __________________ Circle one Child (S, M, L) or Adults (S, M, L, XL) $6 suggested donation per shirt Grade in Sept 2012 __________________________ (Pre-K thru 8):**Allergic To: ________________________________ **Medications Needed During VBS and Why: ___________________________________________ ___________________________________________ Is there another child that yours would like to sit with? Name: _____________________________________