SonWorld Adventure Park VBS

Please complete the form below to register your child for Vacation Bible School at Redeemer Lutheran Church.
Note: all fields are required.

Child's Name

Child's Age

Child's Birthday
MM-DD-YYYY

Parent/Guardian Name

Address

Home Phone
Beginning with area code
Example: 555-123-4567

Cell Phone
Beginning with area code
Example: 555-123-4567

Emergency Contact Name

Relationship to Child

Emergency Contact Phone
Beginning with area code
Example: 555-123-4567

Food Allergies Yes
No

Medical Concerns Yes
No

Family Doctor

Siblings Attending VBS
Names and ages
Please type none if not applicable

Church Affiliation
Please type none if not applicable

Who can pick up your child?

Child's Name
Child's Age
Child's Birthday MM-DD-YYYY
Parent/Guardian Name
Address
Home Phone Beginning with area code Example: 555-123-4567
Cell Phone Beginning with area code Example: 555-123-4567
Emergency Contact Name
Relationship to Child
Emergency Contact Phone Beginning with area code Example: 555-123-4567
Food Allergies	Yes No
Medical Concerns	Yes No
Family Doctor
Siblings Attending VBS Names and ages Please type none if not applicable
Church Affiliation Please type none if not applicable
Who can pick up your child?