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Participant Registration

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Registro en Español

Grace Lutheran Church of LaGrange

Location

200 N Catherine Ave

LaGrange, IL 60525

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Contact Liza Johnson:

708.352.0730

liza@gracelg.org

First, Tell Us About Yourself:

Parent Information

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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Emergency Contact Name

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Emergency Contact Relationship

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Emergency Contact Phone

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I understand that Grace Lutheran Church or Saint Francis Xavier may take photographs and/or video of me and my family in connection with the above-identified event. I authorize Grace Lutheran Church, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that Grace Lutheran Church may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.

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Are you connected to a community of faith?

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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

Students entering 7th-12th grade should register under the Volunteer Registration tab. 7th-10th graders will be assigned the role of Crew Leader. Students in 11th-12th grade may choose to serve as Crew Leaders or Station Leaders.

First Name

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Last Name

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Grade Entering

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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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Friend 2 First Name

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Friend 2 Last Name

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Friend 3 First Name

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Friend 3 Last Name

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Comments

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How should VBS Leaders and Volunteers address your child please choose from

Multiple selections are allowed.

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I, Parent/Guardian of this child give my permission for Him/Her/Them to participate in Vacation Bible School at Grace Lutheran Church of La Grange. If I cannnot be reached in an emergency, I give permission for my child to receive medical treatment that is deemed necessary by medical staff/volunteers.

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Is your child connected to a child/youth group?

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