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2018 Lord of Life Vacation Bible School Youth Information and Permission Form

Please fill out this form as completely as possible to register your student for Vacation Bible School at Lord of Life Lutheran Church.

Required fields are marked with a red asterisk (*).

Children must be 3 years old by September 30, 2017.

Parent 1
Parent 2
Medical Information

By registering your student, you acknowledge that your son or daughter may receive medical treatment with aid from designated Lord of Life Lutheran Church staff or volunteer. If you DO NOT wish for your child to receive treatment in case of an emergency, please check the box below.

By registering your student, you acknowledge that Lord of Life Lutheran Church may take pictures and/or video of your child which may be used within the building or in publicity materials - including but not limited to the website and Facebook page.  Your child will not be identified by name. 

By typing in the Signature field below and submitting this form, you are indicating that the above information is accurate and you are registering your student to participate in Vacation Bible School at Lord of Life Lutheran Church.