VACATION BIBLE SCHOOL - LUTHERAN CHURCH OF HOPE

AUGUST 6-10 FROM 9:00 AM TO NOON
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* Indicates required field

Child's Name *

First

Last

GENDER *

GRADE FALL 2018 *

ALLERGIES/MEDICAL CONCERNS *

Parent Name *

First

Last

Phone Number *

Prefer to Receive Texts? *

Yes No

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Siblings Attending *

If you have any questions or concerns, please don't hesitate to contact the church office.

Parent Name *

First

Last

Phone Number *

Email *

Emergency Contact *

First

Last

Phone Number *

Relationship to Child *

Receive Texts? *

Yes No

Authorized to Pick Up Child *

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