Vacation Bible School June 16-20, 2007

On line Registration Form (One per child)

We would appreciate a $6.00 per child donation to help cover the cost of VBS supplies and materials and one child’s t-shirt.

Please make checks out to Good Shepherd.

Drop off at church: Attention VBS

Or mail to Good Shepherd

1611 E Main Street

Watertown, WI 53094

Tee Shirt INCLUDED with registration! Please indicate size on bottom of form!

Pre-registration recommended for tee shirt guarantee

Last day for orders is June 8th

Child's Name
Parent/Guardian
Street Address
City, State
Zip code
Home phone
Cell phone
Child's Age
Last school grade completed
Date of birth (child must be 3 years of age as of June 18th and potty trained to attend VBS)
Home congregation (Please select)
In case of emergency, contact (Watertown area resident)
Phone
Relationship to child
Allergies or other medical conditions (None or please explain)
Person picking up child
Phone
Relationship to child
Tee-shirt order-- Select size
Additional comments or information about your child
Parent's Email Address:

Good Shepherd Lutheran Church & School

1611 E Main Street

Watertown, WI 53094

Church Office hours:

Monday thru Friday 8:00AM to 4:00 PM

Phone: 920-261-2570

Fax: 920-261-2574

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