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Vacation Bible School 2024:
Celebrate the Savior
Lord of Life Lutheran Church
15750 Baxter Rd, Chesterfield, MO 63017
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Email
*
Your email
When?
July 15-19, 2024
9:00 am - 12:00 pm
Who can attend?
Pre-K (at least 3 years old and potty-trained) -- 5th grade (rising 6th grader)
PLEASE COMPLETE 1 FORM PER CHILD
i.e. If you have 3 children attending VBS, you will need to complete this form 3 separate times. Thank you!
Child's Name (First, Last)
*
Your answer
Nickname?
Your answer
Child's Gender
*
Boy
Girl
Child's Date of Birth
*
MM
/
DD
/
YYYY
What will his or her age be on July 1, 2024?
*
Choose
Three
Four
Five
Six
Seven
Eight
Nine
Ten
Eleven
Grade just completed:
*
Your answer
Child’s T-Shirt Size:
Choose
3T
4T
Youth XS
Youth S
Youth M
Youth L
Adult S
Adult M
Adult L
Adult XL
Interested in your own VBS shirt? List your needed adult size(s) below!
Your answer
Would you like to receive a card that contains information granting you digital access to all of this year’s VBS music?
Choose
Yes
No
Do you give consent for your child to be photographed during our various activities throughout the week and potentially have the photos posted on the church’s Facebook page?
Choose
Yes
No
Home Address
*
Your answer
Parents' Name(s)
*
Your answer
Phone Number(s)
*
Your answer
Other adults who may pick up your child from VBS:
*
Your answer
Doctor's Name & Phone Number
*
Your answer
Does your child have any physical limitations, allergies, or fears we should know about?
*
Yes
No
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