Timothy Lutheran Church
Friday, August 18, 2017
Transforming Lives through Christ

Vacation Bible School Registration Form

 
 
 
 

Hero Central VBS is for all children of the community age 4 through grade 6 (completed). 

VBS week will be Monday, June 19 - Friday, June 23.   

The times are: Monday through Thursday 9 to 11:30 a.m. and on Friday from 9 am. to 3 pm. as we take our annual trek to Lutheran Memorial Camp (located about 30 minutes from the church).  Transportation to camp is provided for the children.  Parents are encouraged to come along.                                    
 
 
Please fill this form out completely If you have any questions or prefer to have a form mailed to you, please call the church office at    740-389-2410 or email us at church@tlcmarion.com   
 
 Child's Name
 
 Last Grade Completed
 
 Age
 
 Birthdate
 
 Parent's Names
 
 Phone
 
 Address
 
 Does Child Attend Church?
 
 If so, where?
 
 Brothers/Sisters Names & Ages
 
 Medical Concerns or Allergies
 
 First Emergency Contact             Name & Phone
 
 Second Emergency Contact        Name & Phone
 
 Third Emergency Contact           Name & Phone
 
 
 Child's Physician Name & Phone
 
 How did you hear about VBS? 
Please let us know the friend's name who invited you! 
OR list other...Mail...Newspaper, etc.  Thanks!
 
  Name of one other child in your age group that you would like to be with in a group.
 
 
 Is Transportation Needed?  ONLY if necessary, please!    YES/NO 
 Please call   at    for transportation information. 
 
 
PERMISSION TO GO TO CAMP ON FRIDAY, JUNE 23.
 
 , (parent or guardian's name) GIVE PERMISSION FOR MY CHILD TO GO TO LUTHERAN MEMORIAL CAMP ON FRIDAY, JUNE 23.   
  YES    MY CHILD CAN GO SWIMMING IN A POOL WITH LIFEGUARDS.                                   
  NO      MY CHILD CANNOT GO SWIMMING IN A POOL WITH LIFEGUARDS.    
                                      
 
PARENTS/GUARDIANS ARE WELCOME TO HELP WITH VBS!
  Yes/No  I would like to help during the week.
  Yes/No  I would like to assist on FRIDAY'S FIELD TRIP TO CAMP.
 
  I will donate the following for VBS.   Please type in your donation.                                 
2 cases of bottled water 
2 pkg. of cookies
Hot dogs & buns
 
     VBS T-Shirts   $6 each (Child sizes 6-8, 10-12, 14-16, & Adults S, M, L, XL)
List Sizes You Want to Order                               
 
                
 Yes/No  I will financially sponsor a child for VBS.  Approximate cost is $10 per child.
 
 
 Your email address