Hope Lutheran Church presents:

Vacation Bible School

June 20th - June 24th, 2022 9:00 am - 12:00 noon
All current 3-year olds-5th graders are Welcome!

Child's First Name

Last Name:

Grade Sept 2022:

T-Shirt Size:

Group Pairing Request:

Parent's Names:

Home Phone

Cell Phone:

Address Line 1

Address Line 2

City

State

Zip Code

Emergency Contact:

Last Name:

Phone Number:

Alternate Pick-Up Name:

Last Name:

Phone Number:

Physician/Pediatrician:

Last Name:

Phone Number:

Known Allergies or Other Medical Concerns: (list by child)

Child:

Known Allergies

Child:

Known Allergies

Child:

Known Allergies

Media Permission: I grant Hope Lutheran Church permission to use the image, voice, and/or words of the individual(s) above in church publications, website, marketing efforts, and when appropriate, with media outlets.

Yes

No, thanks

Want to Help?

*Moms, Dads, Grandparents. - As usual, we can use your help! If you would like to volunteer to help before, during, or after VBS week please see the Volunteer/Donation Sign-Up on HLC.church.

Registration Fee:

By May 31st - $40 per child with $80 maximum per family

After June 1st - $45 per child with $90 maximum per family

Pay Online or In-Person:

I would like to pay online

I would like to pay in person

How to Pay Online:

If you would like to pay online. Please visit our payment portal by clicking HERE before submitting this form.

VBS Form (Vacation Bible School)

Hope Lutheran Church presents:

Vacation Bible School

June 20th - June 24th, 2022 9:00 am - 12:00 noon
All current 3-year olds-5th graders are Welcome!

Pin It on Pinterest

VBS Form (Vacation Bible School)

Hope Lutheran Church presents:

Vacation Bible School

June 20th - June 24th, 2022 9:00 am - 12:00 noonAll current 3-year olds-5th graders are Welcome!

Pin It on Pinterest

June 20th - June 24th, 2022 9:00 am - 12:00 noon
All current 3-year olds-5th graders are Welcome!