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    Registration, VBS 2013

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    Chris Young
    This document is a registration form for Vacation Bible School hosted by Side by Side Ministries of St. Paul - St. John Lutheran Church. The VBS will take place from July 22nd to July 26th at Tall Timbers Campground for preschool through 6th grade. The form collects the child's name, contact information, medical details, and t-shirt size for tie-dyeing. Parents must sign waivers for emergency medical treatment and liability for VBS activities.

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    Registration, VBS 2013

    Uploaded by

    Chris Young
    46 views2 pages
    This document is a registration form for Vacation Bible School hosted by Side by Side Ministries of St. Paul - St. John Lutheran Church. The VBS will take place from July 22nd to July 26th at Tall Timbers Campground for preschool through 6th grade. The form collects the child's name, contact information, medical details, and t-shirt size for tie-dyeing. Parents must sign waivers for emergency medical treatment and liability for VBS activities.

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    This document is a registration form for Vacation Bible School hosted by Side by Side Ministries of St. Paul - St. John Lutheran Church. The VBS will take place from July 22nd to July 26th at Tall Timbers Campground for preschool through 6th grade. The form collects the child's name, contact information, medical details, and t-shirt size for tie-dyeing. Parents must sign waivers for emergency medical treatment and liability for VBS activities.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    46 views2 pages

    Registration, VBS 2013

    Uploaded by

    Chris Young
    This document is a registration form for Vacation Bible School hosted by Side by Side Ministries of St. Paul - St. John Lutheran Church. The VBS will take place from July 22nd to July 26th at Tall Timbers Campground for preschool through 6th grade. The form collects the child's name, contact information, medical details, and t-shirt size for tie-dyeing. Parents must sign waivers for emergency medical treatment and liability for VBS activities.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Side by Side Ministries of St. Paul ~ St.

    John Lutheran Church VBS 2013 Registration Form

    Tell It on the Mountain!


    Located at Tall Timbers Campground 340 South Christy Chapel Rd. Port Clinton Vacation Bible School, July 22nd July 26th, 9AM NOON Preschool through 6th grade

    Childs Name

    Date of Birth

    Age/Grade

    Childs Name

    Date of Birth

    Age/Grade

    Childs Name

    Date of Birth

    Age/Grade

    Parent/Guardian Name ( ) ( )
    Home Phone Cell Phone

    Parent/Guardian Name ( ) (
    Cell Phone

    Home Phone

    Address City, State Zip Primary Emergency Contact ( ) ( )


    Home Phone Cell Phone

    Address City, State Zip Secondary Emergency Contact ( ) (


    Cell Phone

    Home Phone

    People NOT authorized to pick up my child(ren) 1. 2.

    When you arrive each morning, it will be your responsibility to sign your child in and report who will be picking your child up from Vacation Bible School. Vacation Bible School July 22nd July 26th

    Hospital/Clinic Preference

    (
    Physicians Name

    Phone Number

    Insurance Company

    Policy Number

    ALLERGIES/SPECIAL HEALTH CONSIDERATIONS/MEDICATIONS:

    I authorize all medical and surgical treatment, X-ray, laboratory, anesthesia, and other medical and/or hospital procedure as may be performed or prescribed by the attending physician and/or paramedics for my child and waive my right to informed consent of treatment. This waiver applies only in the event that neither parent/guardian can be reached in the case of an emergency.

    Parents/Guardians Signature

    Date

    I give permission for my child to attend St. Paul/St. John Lutheran Church VBS activities. I release St. Paul/St. John and individuals from liability in case of accident during activities related to St. Paul/St. John Lutheran Church and VBS activities, as long as normal safety procedures have been taken.

    Parents/Guardians Signature

    Date

    We are asking each child to bring a white t-shirt with them to VBS. Please place the washed t-shirt in a plastic bag labeled with the childs name. We will be tie-dyeing these shirts one day during VBS. Childs Name Childs Name Childs Name Childs T-Shirt Size Childs T-Shirt Size Childs T-Shirt Size

    Sponsored by Side-by-Side Ministries, the parishes of St. Paul and St. John Lutheran Church Return application form to St. Paul Lutheran Church: 541 Church Rd., Lakeside-Marblehead, OH 43440
    Questions? Contact: Chrissy French (VBS Director) (419) 341-4653 OR Pastor Chris Young (419) 734-1662

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