CHRIST LUTHERAN CHURCH
2610 N. CAMPBELL STREET, VALPARAISO, IN 46385
219-462-6660
VBS 2015
July 19 – 23
STUDENT REGISTRATION
(age 3 through entering 5th grade)
Sun. Family Day 5:00-6:30
Mon.-Thurs. 9:30-Noon
Thurs. Night Family Worship 7:00
NAME:
FAMILY E-MAIL:
ADDRESS:
CITY:
STATE:
ZIP:
PHONE:
DOB:
AGE:
(MUST BE 3** BY JULY 1st)
GRADE FALL 2015:
PARENTS:
PHONE:
EMERGENCY CONTACT:
PHONE:
NAME/PHONE OF WHO WILL PICK UP CHILD EACH DAY:
ALLERGIES OR OTHER MEDICAL CONDITIONS:
SPECIAL FRIEND YOUR CHIILD MIGHT LIKE TO BE WITH:
**The program is a site-rotation format; a self-contained class is available for 3 & 4 year olds with Little Lamb
Preschool staff. SPACE IS LIMITED SIGN UP EARLY!
VOLUNTEER OPPORTUNITIES ALWAYS EXIST; PLEASE LET US KNOW IF YOU ARE WILLING TO
SHARE YOUR TIME AND/OR TALENTS: (please check)
Crew Leader: K – 2nd grade
Crew Leader Helper: 3rd – 5th grade
Crafts:
Music:
Games:
Snack Area:
Where needed:
Please return completed forms along with $15.00 ($30 max. per family) fee to
Christ Lutheran Church Office as early as possible,
NO Registrations accepted after July 5, 2015
For more information contact Jen Gottlieb at [email protected] or
Lois Felten at [email protected]