2016 VBS REGISTRATION FORM
Holy Cross Lutheran Church
4041 W. 120th St.
Alsip, IL 60803
July 17-21, 2016
5:30 - 8:30 PM

"Cave Quest"     
(Fill out 1 form per child)
Required fields noted with * and light yellow highlite.
Printout Blank VBS Registration Form to fill out & mail In. (PDF)


   VBS STUDENT INFORMATION

  *LastName Child’s:      *First Name Child’s:

  *Last Name Parent’s:  *FirstName Parent's:

  *Child's Address: *City: *State: *Zip:

  *Home Telephone #1:                            Home Telephone #2: 

  Mother's Cell Phone #:                         Father's Cell Phone #:

  E-mail Address:           

  *Child’s Birth Date:                           *Grade in Fall:

  Family Church:            

  Special Needs:           

  Allergies (all kinds):    

   AUTHORIZED PEOPLE to pick up your child
   WHEN PICKING UP CHILD PLEASE BE PREPARED to show identification.

  *Last Name: *First: *Phone:

    Last Name:  First:  Phone:

    Last Name:  First:  Phone:

   EMERGENCY CONTACT

  *Last Name:           *First Name:

  *Relationship:             *Phone #:


   How did you find out about our VBS?

  


   Have you or are you planning to attend another VBS this summer?
  



  

   Photography Waiver   
  
I give permission for my child to be photographed by a staff member of Holy Cross and the pictures may be used for church and VBS         publicity and may be posted on the church website. Children's names WON'T BE USED.

           

Thank you for your VBS registration.

NOTE:
PARENT OR LEGAL GUARDIAN MUST BE PRESENT TO SIGN THIS PRE-REGISTRATION FORM ON THE FIRST DAY OF VACATION BIBLE SCHOOL.

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