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JUNE 15-19, 2015
8:30 a.m.-11:30 a.m.

Register Below
Must be at least 3 yrs. old & potty trained
up to entering 5th grade in the fall.
Please complete all fields.

Child's First Name


Child's Last Name

Age at Time of VBS


 Grade Completed 

Parent's Names



Home Phone

  Cell Phone

Emergency  Contact Person

Relationship to Student

Home Phone

Alternate Phone

List Food Allergies if Any.

List Medical Concerns if Any

Family Doctor

Doctor's Phone

Siblings Attending VBS

Church Affiliation

Church Membership at:

Brought By
& Picked Up By

Check all days your child(ren) plans to attend

  T    W   TH   F
If you are interested in helping VBS Click Yes YES

T- shirts are free
 please indicate size
( Youth XS,S, M,L,XL 
     Adults S,M.L.XL)

C-D available $5.00


E-Mail Address




Page Last Updated: 5/13/2015 2:02:30 AM

Trinity Lutheran Church and School   9858 North Street Reese, Michigan 48757  ph:989-868-9901