VBS Registration
Immanuel Lutheran Church Vacation Bible School
"SonSurf"
June 2-6, 2013 5:00-8:00 p.m.
Adult/Teen Volunteer Name:*
Adult/Teen Volunteer Name:
Adult/Teen Volunteer Name:
As a Parent/Volunteer/Teen, I will help with:*
 TEACHING A LESSON ON SUNDAY EVENING
 TEACHING A LESSON ON MONDAY EVENING
 TEACHING A LESSON ON TUESDAY EVENING
 TEACHING A LESSON ON WEDNESDAY EVENING
 TEACHING A LESSON ON THURSDAY EVENING
 HELPING WITH CRAFTS ON SUNDAY EVENING
 HELPING WITH CRAFTS ON MONDAY EVENING
 HELPING WITH CRAFTS ON TUESDAY EVENING
 HELPING WITH CRAFTS ON WEDNESDAY EVENING
 HELPING WITH CRAFTS ON THURSDAY EVENING
 ORGANIZING/TEACHING GAMES FOR SUNDAY EVENING
 ORGANIZING/TEACHING GAMES FOR MONDAY EVENING
 ORGANIZING/TEACHING GAMES FOR TUESDAY EVENING
 ORGANIZING/TEACHING GAMES FOR WEDNESDAY EVENING
 ORGANIZING/TEACHING GAMES FOR THURSDAY EVENING
 COORDINATE/SERVE MEAL ON SUNDAY EVENING
 COORDINATE/SERVE MEAL ON MONDAY EVENING
 COORDINATE/SERVE MEAL ON TUESDAY EVENING
 COORDINATE/SERVE MEAL ON WEDNESDAY EVENING
 COORDINATE/SERVE MEAL ON THURSDAY EVENING
 HELPING WITH MUSIC ON SUNDAY
 HELPING WITH MUSIC ON MONDAY
 HELPING WITH MUSIC ON TUESDAY
 HELPING WITH MUSIC ON WEDNESDAY
 HELPING WITH MUSIC ON THURSDAY
 HELP WITH VBS SET-UP ON SATURDAY, JUNE 1
 HELP WITH VBS TEAR DOWN
 PROVIDING FOOD ITEMS FOR MEALS
 A FINANCIAL DONATION TO HELP WITH VBS EXPENSES
 COORDINATE/PARTICIPATE IN SKIT ON SUNDAY EVENING
 COORDINATE/PARTICIPATE IN SKIT ON MONDAY EVENING
 COORDINATE/PARTICIPATE IN SKIT ON TUESDAY EVENING
 COORDINATE/PARTICIPATE IN SKIT ON WEDNESDAY EVENING
 COORDINATE/PARTICIPATE IN SKIT ON THURSDAY EVENING
CAMPER REGISTRATION - ONE FORM PER FAMILY
Registration due by May 26, 2013
Parent(s)/Guardian(s) Name/s:*
Address, City, State:*
Home Phone:*
Work Phone:*
Cell Phone:*
Email Address:
Home Church:
Home Church City:
Any special concerns?
Will you be delivering and picking up your children?*
CHILD #1 NAME:
CHILD #1 GRADE JUST COMPLETED IN SCHOOL:
CHILD #1 BIRTHDATE:
CHILD #1 GENDER:
 Male
 Female
What size t-shirt does your child wear?
 Child's Small
 Child's Medium
 Child's Large
 Adult Small
 Adult Medium
 Adult Large
 Adult X-Large
CHILD #2 NAME:
CHILD #2 GRADE JUST COMPLETED IN SCHOOL:
CHILD #2 BIRTHDATE:
CHILD #2 GENDER:
 Male
 Female
What size t-shirt does your child wear?
 Child's Small
 Child's Medium
 Child's Large
 Adult Small
 Adult Medium
 Adult Large
 Adult X-Large
CHILD #3 NAME:
CHILD #3 GRADE JUST COMPLETED IN SCHOOL:
CHILD #3 BIRTHDATE:
CHILD #3 GENDER:
 Male
 Female
What size t-shirt does your child wear?
 Child's Small
 Child's Medium
 Child's Large
 Adult Small
 Adult Medium
 Adult Large
 Adult X-Large
CHILD #4 NAME:
CHILD #4 GRADE JUST COMPLETED IN SCHOOL:
CHILD #4 BIRTHDATE:
CHILD #4 GENDER:
 Male
 Female
What size t-shirt does your child wear?
 Child's Small
 Child's Medium
 Child's Large
 Adult Small
 Adult Medium
 Adult Large
 Adult X-Large
I give my child(ren) permission to participate in all activities and programs during Immanuel Lutheran's Vacation Bible School. I agree that Immanuel Lutheran Church, Laurel, NE, will not be held responsible for accidents or persons injured arising there from. I also realize that my child may be in photographs taken during Vacation Bible School. I waive the right to inspect or approve the photo if used for publications or publicity.*
 Yes, I agree to the above statements.
 No.  I disagree with the above statements.
Authorized Signature:*
Date:*


Submit
For it is by grace you have been saved, through faith--and this not from yourselves, it is the gift of God. ~ Ephesians 2:8