VBS Registration Form 2020

Use this form to register students for Resurrection's Vacation Bible School 2020.



  
Name
  
Youth or Adult Participant?

Adults, please fill out the boldface contact information. Birth date and other personal information is not necessary.

  
  
Gender
  
  
Address
  
City
  
State
  
Zip Code
  
Date of Birth
  
Age on June 1, 2020
  
School Grade 2019-2020
  
T-Shirt Size
  
  
Parent / Guardian Name
  
E-mail
  
Home Phone
  
Cell Phone
  
Work Phone
  
Conditions requiring special consideration
  
Allergies
  
Does your child require...
  
  
Emergency Contact 1
  
Emergency Phone 1
  
Emergency Contact 2
  
Emergency Phone 2
  
Name(s) of person(s) who may pick up my child from VBS.
  
I give Resurrection Lutheran Church permission to use any photographs or videos of me and/or my child during and activities in future promotional materials, new releases or websites.
  
  
Electronic Signature
  
Today's Date

1919 Independence Pkwy Plano, Texas 75075 USA
Contact Us
972-867-0460    972-758-7921 (fax)
8:30 - 4:30 M-F
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PURPOSE: To unite as many persons as will share its confession of faith in a fellowship of Worship, Learning, Witness and Service that the Word of God in Jesus Christ may become effective in their lives together and individually.