Vacation Bible School - St. John's Lombard 2024

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VACATION BIBLE SCHOOL
ST. JOHN'S LUTHERAN CHURCH AND SCHOOL
REGISTRATION FORM

July 15th-19th 9:30am-12:00pm
If your child is enrolled in summer camp at St. John's for the week of July 15 - July 19th, they are automatically enrolled in VBS, please do not register them through Breeze.

SPACE IS LIMITED! Registration is limited please sign up NOW to reserve your spot.

Special Closing Service Saturday, July 20th AT 5:30pm followed by an ice cream social.

Cost: $25.50

Questions? Email: stjohnslombardvbs@gmail.com

REGISTRATION SECTION - Each participant must be registered seperately.

Participant Name (first and last)

Gender

Male Female

Date Of Birth

T-Shirt Size

Grade as of Fall 2024

CD or Digital Download - One Per Family

CD Digital Download

Member of St. John's Lutheran Church

Yes No

Home church if not a member of St. John's Lutheran Church

If you desire St. John's to NOT use your child’s photograph in any media, including the Internet for promotional purposes, please go to the church office and fill out the VBS Photo Exempt Form.

CUSTODIAL SECTION

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Phone Number

Parent/Guardian Home Address (if different)

EMERGENCY CONTACT SECTION

Emergency Contact First Name

Emergency Contact Last Name

Emergency Contact Phone Number

Emergency Contact Relationship To Participant

List any allergies or adverse reactions that we need to be aware of.

PAYMENT SECTION

Each participant will be charged $25.50 (this includes a .50 service charge) for the St. John's VBS in 2024. This cost will pay for t-shirt, supplies, family cd, and treats. St. John's uses the company "Breeze" to collect the deposits. Breeze will be shown on your credit card statement, not St. John's Lutheran Church and School.

Deposit $25.50

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Vacation Bible School - St. John's Lombard 2024

Description

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