Vacation Bible School

Registration is open from April 1, 2020 until August 3, 2020.

VBS REGISTRATION FORM

PLEASE NOTE - Walk-in registrations will not be honored this year. All children MUST be registered before the deadline. If you cannot register online, paper forms are available
at the church office.

* Indicates required field

Child's Name *

First

Last

Grade completed in Spring 2020 *

Date of Birth *

Parents/Guardians Name *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Parent's Phone Number *

Email *

Name of Home Congregation (church) *

Allergies/Medical Conditions *

Emergency Contact *

First

Last

Emergency Phone Number *

Doctor's Name *

First

Last

Doctor's Phone Number *

***Notice***
If you register your child, you hereby allow, permit and authorize Jerusalem Evangelical Lutheran Church of Sellersville, to post a photograph or likeness of the face and head of my/our child, together with only his/her first name being used. This authorization is the understanding that the photo or likeness of my/our child will be used in church newsletters, Facebook pages, and websites with the understanding that no other information relating to the identity of the child or families will be used.

CLICK BELOW *

To indicate you have read the above Notice.

Submit

Take God's Good News with you everyday.

Vacation Bible School

VBS REGISTRATION FORMPLEASE NOTE - Walk-in registrations will not be honored this year. All children MUST be registered before the deadline. If you cannot register online, paper forms are availableat the church office.

VBS REGISTRATION FORM

PLEASE NOTE - Walk-in registrations will not be honored this year. All children MUST be registered before the deadline. If you cannot register online, paper forms are available
at the church office.