Registration for this event is now closed.

Please check back for updates for the next Vacation Bible School.

Please submit seperate form for each child

Child's Name: T-Shirt Size:  
Grade Completed: Birthday: Age:
Siblings attending VBS (names and ages):

Parents' Names: Home Address:
Email Address: (We'll email you a copy of the registration)
Home Phone: Alternate Phone:
Church Affiliation: Church Membership at:

Food Allergies: No Yes (List:)
Medical Concerns: No Yes (Explain:)
Family Doctor: Doctor's Phone:

Will you plan to have your child attend the child led church service at Immanuel on July 29th at 9:00am?
Yes No

People who may pick pick your child up:

I understand VBS leaders have permission to photograph/film the minor(s) designated above in any manner or form for any lawful purpose associated with this VBS program.
I understand that by submitting this form I am enrolling my child in Vacation Bible School at Immanuel Lutheran Church in Sweet Springs, MO and agree to all terms set forth by the Church. By checking this box I agree that it is the same as my signature on this form.

Please press "submit" button only once. Do not close this page until you see the confirmation page. If you entered your email address, you will receive a copy via email.