Redeemer's Rainforest Falls VBS - July 6-10

July 6-10, 2026 | Please fill out this form to register to Redeemer's True North VBS

1st Child's FIRST and LAST Name

Date of Birth

Age

Gender

TSHIRT SIZE

Please select one option.

Youth S Youth M Youth L Adult S Adult M

Known Allergies:

2nd Child's FIRST and LAST Name

Age

Gender

Date of Birth

TSHIRT

Please select one option.

Youth S Youth M Youth L Adult S Adult M

Know Allergies

3rd Child's FIRST and LAST Name

Date of Birth

Age

Gender

TSHIRT SIZE

Please select one option.

Youth S Youth M Youth L Adult S Adult M

Known Allergies

PARENTS

Parent 1

Address

Phone

Parent 2

Address

Phone

IN CASE OF EMERGENCY

Name

Phone

Relationship to Child(ren)

RELEASE FORMS/WAIVERS

PICK UP FROM VBS/AFTERNOON CHILD CARE
Including yourself, please list full name(s) and cell phone(s) of the people allowed to pick up your child/children. ID is required. Please understand that if the person's name is not on this list, your child/children will NOT be released to him/her.

All Names and Phone #s who are allowed to pick up your child

LIABILITY RELEASE
In consideration of my child/children being allowed to participate in Lutheran Church of the Redeemer's (LCR) VBS and or Aftercare, I hereby release and hold harmless LCR and any person or persons associated with LCR VBS from all claims, damages, injuries, losses, expenses and liabilities which may occur from my childs participation.

Type Name in Agreement

PHOTO/VIDEO PERMISSION
Lutheran Church of the Redeemer has my permission to use my child’s/children's photographs/videos taken during VBS or Aftercare to use publicly. I understand the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.

Please select one:

Please select one option.

I Agree I Do Not Agree

PAYMENT - VBS is free. Pay for After Care only if your child(ren) plans to attend.

After Care (Optional) - Please select the appropiate box in dropdown

My Child(ren) will Not be Attending After Care ($0) One Child ($40) 2 or More Children ($75)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

July 6-10, 2026

Please fill out this form to register to Redeemer's True North VBS

Redeemer's Rainforest Falls VBS - July 6-10

Description

Please Fix the Following