Vacation Bible School

Jerusalem Lutheran Church
2025 Son Treasure Island
Vacation Bible School Registration

* Indicates required field

Child's Name *

First

Last

Date of Birth (mm/dd/yyyy) *

Grade Completed Spring 2025 *

Parent/Guardian's Name *

First

Last

Address *

City, State, Zip Code *

Telephone *

Email *

Allergies / Medical Conditions *

Emergency Contact Name *

Emergency Contact Telephone *

Doctor's Name *

Doctor's Telephone *

Name of Home Church *

NOTICE
By registering for Jerusalem's Vacation Bible School,
you are giving authorization that the photo or likeness of you
and/or your child can 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.

With Thanks,
Jerusalem Lutheran Church
733 Ridge Road
Sellersville, PA 18960

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Take God's Good News with you everyday.

Vacation Bible School

Jerusalem Lutheran Church2025 Son Treasure IslandVacation Bible School Registration

Jerusalem Lutheran Church
2025 Son Treasure Island
Vacation Bible School Registration