Vacation Bible School
9:00 am - 11:45 am
For children 3 years old to 8th Grade
Note: Children must be 3 years old by April 1, 2012 and be potty-trained.

585.723.4673

* Fields marked with an asterisk are required.

Please choose one: *
July 9-13     or     July 16-20     or     July 30 - August 3
* Parent's FIRST Name:
* Parent's LAST Name:
* 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.
If your child has a food allergy, please bring your own snack labeled with
your child's name to the classroom.

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

How did you hear
about VBS at Hope?


Children's First & Last Name Previously Attended Male or Female Birth Date Grade in September 2012
Month Day Year
1.
2.
3.
4.

If applicable, name ONE friend of the SAME GRADE your child would like to be placed with:

Be sure to indicate your child's name with friend if registering more than one child.

Once we receive this form, your child(ren) will be registered and assigned to classes according to their grade levels.
The first day of Vacation Bible School you will be advised of your child's classroom assignment. 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)

Registration begins May 1, 2012. The church is located west on Vintage Lane off Rt. 390 North, between Fetzner and Long Pond Road, on the south side of the street. Parking is available at the rear of the building.



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