2022 VBS In-Person Registration

Register NOW for in-person Vacation Bible School at Trinity!

Please complete one form for EACH child you are registering. There is a $15 fee/child. If you have any questions, please email us at amylkoch@verizon.net. THANK YOU!

Child's Information

Child's Name*

First Last

Gender

Male
Female

Age as of June 1, 2022*

Grade in 2022/2023 school year*

If your child is entering Kindergarten, you may choose our Preschool program or Elementary program.

Preschool
Elementary

Crew Mate Request (1 friend to be placed in same group)

Medical/Behavioral Concerns or other information that would be helpful to our VBS staff?*

Yes
No

If yes, please list concerns:

Parent/Guardian Information

Name of Person Registering Child*

First Last

Relationship to child*

Primary Parent/Guardian Name (if different from above)

First Last

Preferred Family Email Address*

Best phone number to reach you during VBS hours*

Would you like to receive information about Trinity's programs and worship?*

Yes, please!
No, thanks
Already receiving information

Additional Information

Child's Home Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Emergency Contact (other than listed above)*

First Last

Relationship to Child*

Emergency Contact Phone Number*

Please list first and last names of all adults authorized to pick up your child at the end of VBS.*

Support our VBS Mission

Our friends at Hope Academy need help to fill their library! For every $10 you donate, we will purchase a book for the girls at the school to enjoy. Our goal is 100 books. Will you help?

I would like to donate to add books to the Library at Hope Academy!

Price: $10.00

Every $10 = 1 book! Thank you for your support!

Pre-order this year's music!

Music Download Card

Price: $10.00

Your total amount due.

Includes $15 registration fee and any additional music purchases and/or donations

Payment is required to complete your registration. After you submit this form, you will receive additional information on how to complete the process. Please contact us if you have any questions.

The undersigned gives permission to his or her child to participate in the above named activity and releases Trinity Lutheran Church, its officers, employees, and agents from any liability whatsoever for any injury or death to person or loss or damage to property sustained by the undersigned for any member of his family, in attendance, and the undersigned agrees to defend and indemnify Trinity Lutheran Church, its officers, employees, and agents from any liability or loss they might sustain by reason thereof.

I hereby agree to the above statement*

Yes

I hereby give consent for photos of my child to be used without identifying name labels in any and all Trinity publications.*

Yes
No