St. John Lutheran Church & School 16339 East 14 Mile Road, Fraser, Michigan 48026 Phone: (586) 293-0333
2016 VBS Registration Form July 25th – 29th
9:00 a.m. til 12:15 p.m.
Please complete one form per CHILD. We look forward to having your child join us at CAVE QUEST this summer!
Child’s Name _______________________________________________ Parent/Guardian Name________________________________________ Address:___________________________ City____________Zip______ Email Address_______________________________________________ Phone #’s Home______________ Cell____________ Work___________ Date of birth__________________ Age______ Grade completed______ Home Church________________________________________________ How did you hear about VBS?__________________________________ Allergies/Medical Information/Other______________________________ Emergency Contacts: Name__________________ Phone____________ Name___________Phone________Name___________Phone_________ Name(s) of person(s) who may pick up this child from VBS each day. ____________________________________________________________ ____________________________________________________________ Early registration is welcomed. To do so, please drop off the completed form to the VBS table within the church or to the church office. You also can mail it to the address referenced above.