VBS

August 11th | God’s Backyard Vacation Bible School
August 11th 2022
3pm-6pm (3yo-6th grade)
6pm-9pm - Movie night (young and "young at heart" are invited!)

Immanuel Lutheran Church 3735 Shirley Rd. DePere, WI
(10 miles south of De Pere on Hwy G/Dickinson Rd. East on Shirley Rd.)

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Phone

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preferred method of contact

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email cellphone (text)

Child's Name

Grade level Enter age now or grade COMPLETED

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3 years old 4 Year Old Kindergarten 1st grade 2nd grade 3rd grade 4th grade 5th grade 6th grade

Please let us know if this child has any allergies or medical conditions that we need to be aware of

I hereby grant Immanuel Lutheran Church permission to copyright and use photographs/videos taken at VBS of my child(ren) in any manner or form for any purpose lawful at any time. No names of my child(ren) will be used in connection with the photographs and videos.

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yes no

I give my permission for the VBS staff to administer basic first aid to my child(ren)in the event of an injury. I understand that the VBS staff will contact emergency services in the event of a significant injury and all expenses for such emergency services will be paid by me.

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Check one or both:

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Aug 11th 3pm-6pm (VBS) Children ages 3-12 Aug 11th 6pm-9m (movie) Children of all ages and adults

Parents, grandparents, and friends are invited to come to the movie from 6pm-9pm. How many "young at heart" will be attending?

Description

August 11th

God’s Backyard Vacation Bible School
August 11th 2022
3pm-6pm (3yo-6th grade)
6pm-9pm - Movie night (young and "young at heart" are invited!)

Immanuel Lutheran Church 3735 Shirley Rd. DePere, WI
(10 miles south of De Pere on Hwy G/Dickinson Rd. East on Shirley Rd.)

VBS

Description

Please Fix the Following