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Bible Search
Register for Vacation Bible School

Family Registration for Vacation Bible School

at Hope Lutheran Church           Contact: 503 951 0778

 

Parent Names ______________________________________________

Phone  ____________________________________________________

Address ___________________________________________________

Names    _____________________________age________     

______________________________age________               

______________________________age________                   

______________________________age________

                ______________________________age________

                 ______________________________age________

_____We regularly attend church.  Church Name__________________

_____ We do not regularly attend church.

In case of emergency, call: ___________________________________   

Phone _____________________Relationship____________________

Medical or behavior problems or allergies:

____________________________________________________________________________________________________________________

Names of adults who have permission to pick up my children:

__________________________________________________________

__________________________________________________________

In case of medical emergency the staff of Vacation Bible School at Trinity and/or Hope Lutheran Church is authorized to secure lifesaving emergency medical treatment and/or transport for my child and will notify me immediately.     Other instructions:

__________________________________________________________

Parent signature                                                   Date

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