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, 2010 and be toilet trained.


585.723.4673

* Fields with an asterisk to the right are required.

Please choose one: *
July 12-16     or     July 19-23     or     August 2-6

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:
How did you hear about VBS at Hope?


Children's First & Last Name Previously Attended Male or Female Birth Date Grade in September 2010 Baptized
Month Day Year
1.
2.
3.
4.

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

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)

Registration begins May 1, 2010. 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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Updated April 23, 2010