Hope Lutheran Church Vacation Bible School On-Line Registration Form

2011 VBS Year

Parent Name(s):
Street Address:
City/State/Zip:
Phone: Home
Phone: Work
Phone: Cell
Child's Name (First & Last) (Please list each child separately)	Birthdate (MM/DD/YY)	Grade (this fall)	T-shirt Size (indicate youth or adult size)	Instruments played