Trinity Lutheran Church & St. John Lutheran Church Vacation Bible School School June 8-12, 2015 8:30 am—Noon 4 yr old—4th Grade Trinity Lutheran Church 5th & 6th Grade Registration fee—$15 per student/ $40 family maximum (please register by May 24) Child’s name:____________________________________________ Grade 2014-2015: (circle) Age: 4yr Grade: K 1 2 3 4 5 6 Date of birth: __________ Age: ______ Male or female: ____________ Church membership: Trinity: _____ St. John: _____ Other: ____________ Parents’ names: __________________________________________ Address: _____________________________________________ Phone number parent can be reached during VBS: _____________________ Family Email:_____________________________________________ Emergency contact (other than parent): ____________________________ Allergies or other medical conditions: ____________________________ Media Release and Waiver: Participant grants permission for Trinity Lutheran Church to use photographs, videos, audio recordings, or to otherwise document his/her participation in Trinity Lutheran Church programs, solely for the purpose of marketing, research and/or education. Trinity Lutheran Church will not identify by name any minors in either print or web-based images. (PARENT SIGNATURE) ________________________________________ I would be willing to help by: ___ Being a Group Leader (teacher’s family receives FREE registration!) For office use only Paid by: Check# _______ Cash ________ ___ Being a nursery caregiver ____ Helping with the craft center ___ Helping with outside games ____ Helping in general ____Bringing a healthy snack  Buy a VBS t-shirt for $7! Name: (one order per form, please) ____________________________ XS (2/4) S (6/8) L (14/16) M (10/12) XL (18/20) Adult sizes: (Circle size) S M L XL XXL XXXL  Youth sizes: (Circle size)   Order by May 24 to pick up on the first day of VBS! For office use only Paid by: Check# _______ __ Cash _________ __  Buy a VBS t-shirt for $7! Name: (one order per form, please)____________________________ XS (2/4) S (6/8) L (14/16) M (10/12) XL (18/20) Adult sizes: (Circle size) S M L XL XXL XXXL  Youth sizes: (Circle size)   Order by May 24 to pick up on the first day of VBS! For office use only Paid by: Check# _______ __ Cash ________ __  Buy a VBS t-shirt for $7! Name: (one order per form, please) ___________________________ XS (2/4) S (6/8) L (14/16) M (10/12) XL (18/20) Adult sizes: (Circle size) S M L XL XXL XXXL  Youth sizes: (Circle size)   Order by May 24 to pick up on the first day of VBS! For office use only Paid by: Check# _______ __ Cash _________ __  Buy a VBS t-shirt for $7! Name: (one order per form, please) ___________________________ XS (2/4) S (6/8) L (14/16) M (10/12) XL (18/20) Adult sizes: (Circle size) S M L XL XXL XXXL  Youth sizes: (Circle size) For office use only Paid by: Check# _______ __ Cash_________ __   Order by May 24 to pick up on the first day of VBS!