Vacation Bible School

Child's Name*

Child's Birthdate*

Grade Entering in Fall*

Known Allergies

Name of Parents/Legal Guardians*

Emergency Phone Number*

Present Church Affiliation (Name of church if applicable)

Referred By

Permission to Photograph: I grant Christ Ev. Lutheran Church of Marshall, MN permission to use photographs of my child(ren), in its publications (newsletters, worship bulletins, bulletin inserts, slideshows, etc.), including website/Facebook entries. *