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Participant Registration

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Registro en Español

Clear Lake Lutheran Church

Location

270 Outer Drive

Clear Lake

Fremont, IN 46737

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Contact Jeff Corder:

260-495-9219

pastorcorder@gmail.com

First, Tell Us About Yourself:

Parent Information

Our VBS shirts are free again this year. Please understand that shirts need to be ordered prior to VBS week. We will order extra shirts but cannot guarantee children signing up later in the registration process will get the shirt size they request or even a shirt.

Our VBS mission this year is to raise money and complete a bed build for children in Steuben County who are in need of a bed. We are now part of the Steuben Chapter of Sleep in Heavenly Peace and would love for you to consider supporting this mission. We will use the offering money the children bring in for VBS to contribute to the bed build. The build will be held on Saturday, June 27, 2026 from 9:00 AM until noon.

First Name

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Last Name

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Address 1

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Address 2

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City

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State/Province

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ZIP/Postal Code

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Country

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Contact Phone 1

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Contact Phone 2

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Text Message Phone

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Emergency Contact Name

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Emergency Contact Relationship

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Emergency Contact Phone

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Alternate Pickup Name

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Comments

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do we have permission to photograph your child?

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Click here for your FREE Friends With God Kids Activity Pack

By checking the box you will be emailed your Free Friends With God Kids Activity Pack.

You are also agreeing to receive emails about family resources from Lifetree. You can unsubscribe at any time. We value your privacy. Your information will not be shared with a third party. Lifetree is a division of Group Publishing, the creators of Group VBS and other faith-building resources. Click to learn more about Lifetree.

Tell Us About Your Participant

First Name

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Last Name

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Grade Entering

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Gender

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Date Of Birth

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Shirt Size

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Allergies

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Medical Concerns

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Do you have friends you would like to be placed with? We will do our best to group selected friends together in the same crew, but we cannot promise all requests will be possible.

Friend 1 First Name

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Friend 1 Last Name

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Comments

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