Register for VBS

Family Information

Address

Primary Phone

Alternate Phone

Relationship to Student Father Mother Grandfather Grandmother Great-grandfather Great-grandmother Brother Sister Uncle Aunt Guardian Foster Parent Granduncle Grandaunt Other

Phone Number

I understand that my child/children may participate in physical activities. As with any physical activity, there is risk of injury. In registering my child/children for St. Peter's VBS, I hereby release and hold harmless St. Peter Lutheran Church and any person or persons associated with St. Peter's VBS program from all claims, damages, injuries, losses, expenses and liabilities which may occur from my child's participation. Waiver of Liability

I hereby provide my consent for my child's photograph to be taken during VBS. I acknowledge and accept that photos could be published on social media, St. Peter's website or future VBS advertisements.

Student Information

Gender

Birth Date

Age Group

Food Allergies

Details

Medical Concerns

Details

I have more students to register