Vacation Bible School (VBS)

Why Water Is Worth It!

Celebrating Baptism and Ecology

Monday-Friday, July 8-12, 2019 ~ 5:30-8:30 p.m.

Dinner Served at 5:30 each evening.

Adults and high school youth are encouraged to volunteer! Contact Peggy Drana or the church office if you can do so!

Online Registration Form

Name of Parent or Guardian (required)

Your Email (required)

Address (required)

Phone Number

Name #1

Birth Date #1

Grade Level #1

Tee Shirt Size #1

Health Concerns/Special Needs #1

Name #2

Birth Date #2

Grade Level #2

Tee Shirt Size #2

Health Concerns/Special Needs #2

Name #3

Birth Date #3

Grade Level #3

Tee Shirt Size #3

Health Concerns/Special Needs #3

Name #4

Birth Date #4

Grade Level #4

Tee Shirt Size #4

Health Concerns/Special Needs #4

Name #5

Birth Date #5

Grade Level #5

Tee Shirt Size #5

Health Concerns/Special Needs #5

Waiver and Release of Claims
“As a participant/parent/guardian in this program, I recognize and acknowledge that there are certain risks of physical injury and I agree to assume the full risk of any injuries, damages or loss which I/my child may ward or sustain as a result of participating in any and/or all activities connected with or associated with such a program. I agree to waive and relinquish all claims I/my child may ward or may have as a result of participating in this program against Cross Lutheran Church and its officers, agents, servants and employees. I do hereby fully release and discharge the Cross Lutheran Church and its officers, agents, servants, and employees from any and all claims from injuries, damage or loss which I/my child may ward or may have or which may accrue to me/them on account of my/our participation in this program. I further agree to indemnify and hold harmless and defend the Cross Lutheran School and its officers, agents, servants, and employees from any and all claims resulting from injuries, damages and losses sustained by me/them and arising out of, connected with, or in any way associated with the activities of this program. Consent for pictures/video is given for our use. I have read and fully understand the above program details and waiver and release of all claims.”

I consent to the above waiver. (Required)
Electronic Signature:

Back-Up Contact Name and Number (in case of emergency):