LUMC Sunday School Connection
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2023 VBS | Student Registration Form
*
Indicates required field
Student Name
*
First
Last
Preferred Name
*
Please list any siblings also attending
*
Parent/Guardian Name
*
First
Last
Mailing Address
*
Line 1
Line 2
City
State
Zip Code
Country
Camper Allergies/Medical Conditions
*
Please note N/A if not applicable
Emergency Contact
*
First
Last
Phone Number
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Birthdate
*
Grade Student Will Be Attending This Fall
*
Preschool (4 yrs old)
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Is there a specific friend your child would like to be with?
*
Phone Number
*
Email
*
Person/s Responsible for Pick-up
*
Questions/Comments
*
Submit
Welcome!
Church Info/Contact Us
Schedule
Helpful Info
Forms
Ask the Pastor
Prayer Requests