2024 Scuba VBS

Sunday, July 21st - Thursday, 25th
5:30pm - Family Meal
6:00 - 8:00pm - VBS Programming
*Fill out one form per family

Name of Parent/Guardian

Email (this is where all communication will be sent)

This address will receive a confirmation email

Parent/Guardian Cell Phone

Address

Home church (+city/state)

In case of emergency, contact: (Name and Phone #)

Child 1 Information

Child 1's Name (First & Last)

Gender Male Female Non-binary

Age

Date of Birth

Last grade completed

PreK (3-5) Kindergarten 1st 2nd 3rd 4th 5th

Allergies, medical conditions, or special needs

Child 2 Information

Child 2's Name (First & Last)

Gender Male Female Non-binary

Age

Date of Birth

Last Grade Completed Prek (3-5) Kindergarten 1st 2nd 3rd 4th 5th

Allergies, Medical Conditions, or special needs

Child 3 Information

Child 3's Name (First & Last)

Gender Male Female Non-binary

Age

Date of Birth

Last Grade Completed PreK (3-5) Kindergarten 1st 2nd 3rd 4th 5th

Allergies, Medical Conditions, or special needs

Child 4 Information

Child 4's Name (First & Last)

Gender Male Female Non-binary

Age

Date of Birth

Last Grade Completed PreK (3-5 Kindergarten 1st 2nd 3rd 4th 5th

Allergies, Medical Conditions, or special needs

Child 5 Information

Child 5's Name (First & Last)

Gender Male Female Non-binary

Age

Date of Birth

Last Grade Completed PreK (3-5) Kindergarten 1st 2nd 3rd 4th 5th

Allergies, Medical Conditions, or special needs

Payment Options

We NEVER turn anyone away - if finances are uncertain, you are MORE than welcome to have your child(ren) participate at any level.

Contribution may occur online OR by check/cash.

If you are paying online, feel free to use the form to add your digital payment.
If check/cash, please submit to Shalom Lutheran after completing form.

$15 per child to help cover the cost of VBS & Tshirt!

Options

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

July 21-25, 2024

At Scuba Vacation Bible School, kids go through field-tested rotations that reinforce relevant Bible Points and immerse kids in new adventures. At VBS, we’ll hear stories about Jesus, make some crafts, play crazy parking lot games...and of course have all the snacks!

For kids from ages 3 - those that just completed 5th grade
(If your child is not potty-trained they are still welcome with a parent)

2024 Scuba VBS

Description

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