Redeemer Lutheran Church

2008 Vacation Bible School (VBS) Registration Form

VBS runs from July 28th - August 1st from 6 pm to 8 pm

*One form per family

Child's Name and age

Street/P.O. Box

City State Zip

Parent/Guardian

Parent/Guardian E-mail

Home Number Work Number

Cell Number

Number of family members participating

Will parents be helping in other areas of Jerusalem Marketplace? Where?

In case of emergency, contact: Name Phone

Allergies or other medical conditions