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VBS Registration Form

*for students entering 1st Grade through 6th grade in the fall of 2025

VBS Dates: Monday, June 9 - thursday, June 12

*due Sunday, May 25 (NO late registrations accepted)

Suggested donation is $50 per child, any amount is greatly appreciated. Checks can be written to United Lutheran Church; please write VBS in the memo, and drop off at the church office or drop box located outside the office. Thank you for your support!

Student's Name (please fill out a separate form for each student)

First Name

Last Name

Student's Address

Student's Age (for students entering 1st grade through 6th grade in the fall of 2025)

Student's Grade (just completed)

United Lutheran Social Media Policy

ULC does have permission to use my child's picture on social media. Names will NOT be published.

Do not use my child's picture on social media

Please list any special needs (dietary, behavior, medical) below.

For your child's safety, please send 2 snacks/day if your child has food allergies or special diet needs.

Parents' Name(s)

Parents' Phone Number(s)

Parents' Email

Emergency Contact Name (in case parents are not available)

Emergency Contact Phone Number:

In order for VBS to be a safe and positive experience for all, it is expected that all campers and helpers follow the listed expectations. If a child decides to be disruptive, it affects everyone at VBS. Please review the following expectations with your child.

Behavior Expectations: #1 Respect other VBS campers, the staff, helpers, and the church building #2 Use appropriate behavior during all VBS activities, transition times, and in the bathroom

My child and I have read and agreed to this behavior policy