Cost is $10.00 for first child in family, $5 for each child after. The cost includes a t-shirt, crafts, snacks and fun for the entire week!
Child’s name
Age
Gender
Street Address
City
State
Zip
Date of Birth
Parent’s Cell Phone Number
T-Shirt Size
Mother’s name
Father’s name
Parent email
Emergency contact
Allergies (food, animals, hay, etc.) or other medical conditions:
Please Note: If choosing electronic payment methods, Parents/Guardians will receive a request from either Alexis Pawelek, VBS Director or Trinity Lutheran Church.
Which payment method would you prefer to use? PayPalVenmoZelleCashCheck
Please enter the username / phone # / email associated with the payment method you wish to use:
How many total Students are you registering?
Media Release: (Parent Initial Required)
My child may appear in pictures and videos of vacation bible school for use by the church.
