SCUBA - Vacation Bible School 2024

Please fill out this form and click submit.
Each family with registration returned and fees paid by July 1 will receive a CD with the VBS music.
Trinity uses photos of Vacation Bible School children for communications such as newsletters, video presentations, and web pages.

Child's Name

Child's Age as of July 1, 2024

Child's Grade Fall 2024

Please select one option.

Pre-School Kindergarten First Grade Second Grade Third Grade Fourth Grade Fifth Grade

Parent/Guardian(s) Name(s)

Primary Email

This address will receive a confirmation email

Primary Phone

Secondary Phone

Address

If parent/guardian(s) cannot be reached - Emergency Contact

Emergency Contact's Phone

Early morning childcare begins at 7:30 am. My child will need childcare before 9:00 am on the following days:

Please select all that apply.

None needed Monday Tuesday Wednesday Thursday Friday

Does your child have any special needs, diagnosis, or health restrictions that we should be aware of? Please list them below

Please list all allergies

We are members of

Please select all that apply.

Trinity Bethlehem First Lutheran not a member anywhere friends of a member

If your child would like to be in the same group as a particular buddy please list it here. Note that buddies must be in the same age bracket.

Payment 25.00

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

SCUBA - Vacation Bible School 2024

Description

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