Share The Hope - Vacation Bible School Registration 2011

If applicable, name ONE friend your child would like to be placed with in their SAME grade:

Please specify which child, if more than one.

Can you furnish one package of store bought cookies?
If yes, please bring them with you on the first day. Thank you.

If your child has a food allergy, please bring your own snack labeled with your child's name to the classroom.

Once we receive this form, your child(ren) will be registered and assigned to classes according to their grade levels. You will be advised of their classroom assignments on the first day of Vacation Bible School. Please note that we frequently take photographs and videos that may be used in newspaper articles or presentations.

For additional information:
Hope Lutheran Church
1301 Vintage Lane, Rochester, NY 14626
585-723-4673 (phone)
585-723-8549 (fax)


Please choose one: * July 11-15 or July 18-22 or August 1-5
Parent's Name(s): First Last	* *
Telephone:	() - *
Address:	*
City:	*
State:	*
Zip:	*
Email Address:	*
Contact Name and Phone during VBS hours:	*
Additional Contact Name and Phone during VBS hours:	*
What church do you currently attend?
Allergies / Concerns:	Please specify which child, if more than one.
How did you hear about VBS at Hope?

Children's First & Last Name	Previously Attended	Male or Female	Birth Date			Grade in September 2011
Children's First & Last Name	Previously Attended	Male or Female	Month	Day	Year	Grade in September 2011
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