East Campus VBS Registration
9 - 11:30 a.m.   July 13 - 17, 2009
Lutheran Church of the Master

Programming for 3 years old through those who have completed 7th grade. Registration due by June 22.

To register, please fill out this form and click on the Submit button.
Questions, contact Donna Beal at 333-4444 or donna.beal@churchofthemaster.com

Family Information
Father's Name: Able to help?  Y N
Cell Phone:     Work Phone:  
Address:
City:     Zip:  
Mother's Name: Able to help?  Y N
Cell Phone:     Work Phone:  
Address:
City:     Zip:  
Primary E-mail Address:
Emergency Contact other than parent(s):
Name Relationship to child
Phone
Child's Home Church:
How did you hear about VBS?

Child's NameM or FAgeGrade
completed		Allergies /
Medical
information		Days NOT
able to attend


To help defray expenses, a $5 donation per family is suggested.

Permission/Release Form
I (We), the parent(s) or legal guardian(s) of the above listed child/children grant permission for our child/children to participate in Vacation Bible School at Lutheran Church of the Master and to receive medical treatment if necessary. If I (we) or the above listed emergency contact cannot be reached, I (we) give our permission to the staff to secure the services of a licensed physician to provide necessary care, including anesthesia, for my child's well-being. I (we) also release and agree to hold harmless Lutheran Church of the Master and all its participants from any liability and assume all risk of injury, damage or expenses as the result of participation in activities in Vacation Bible School.
  Check here to give permission and agree to release.


Photo/Video Release Form
I (We) understand that as a participant in Lutheran Church of the Master's VBS, my child may be photographed or videotaped during VBS events.  I also understand that these may be used in presentation & promotional materials.  I release Lutheran Church of the Master from any and all liability.
  Check here to agree to photo/video release.