VBS is June 17th - 21st 8:30 A.M to 11:30 A.M.
VBS is designed for children who are 3 years old by August 2012 (and potty trained) through 9th grade.
If you have any questions, please contact: Mr. Dave Probst dprobst@stjameslaf.org (765) 423-1616
VBS Registration:
Child's Name
Child's Date of Birth
Child's Future Grade (August 2013)
Child's Shirt Size
School Attending
Medical Allergies
Answer questions #7-12 only if you are registering a second child
2nd Child's Name
Answer questions #13-18 only if you are registering a third child.
3rd Child's Name
Youth Registration (Skip to question 25, if you are not registering a youth)
Youth's Name
Youth's Date of Birth
Youth's Grade (August 2013)
Youth's Shirt Size
Youth is attending school at:
Parent's First Name
Parent's Last Name
Address
City
State
Zip
Home Phone #
Cell Phone #
Work Phone #
Email address
Family Doctor
Contact in case of emergency
Name
Phone #
Alternate Phone
Relationship
Comments
St. James Lutheran Church ¦ 800 Cincinnati St. ¦ Lafayette, IN 47901 ¦ Phone: 765-423-1616 ¦ Fax: 765-742-4642 ¦ office@stjameslaf.org
St. James Lutheran School ¦ 615 N. 8th St. ¦ Lafayette, IN 47901 ¦ Phone: 765-742-6464 ¦ job@stjameslaf.org St. James Lutheran School admits students of any race, color, national or ethnic origin. Photo Credits
