GLORIA DEI LUTHERAN CHURCH
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Gloria Dei Vacation Bible School
Registration Form
2017
(one per child)
Gloria Dei Lutheran Church, Cedar Rapids, IA
Phone (319) 396-2641
We are now taking registration for Gloria Dei VBS. You will receive a FREE Bible School t-shirt if registered by
June 4.
Parents and legal guardians of minor children are asked to complete and submit the online form below. PLEASE REGISTER BEFORE JUNE 12.
Email Laurie Weber to volunteer:
mailto:laurielweber@gmail.com
General Information (please print)
*
Indicates required field
Child's Name
*
First
Last
Child's Gender:
*
Male
Female
Child's Age:
*
Child's Birth Date:
*
Child's T-shirt Size
*
Youth X small
Youth Small
Youth Medium
Youth Large
Youth X large
Grade just completed
*
Preschool
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Home Church
*
Parent/Guardian(s) Name(s):
*
Street Address:
*
City, State, Zip
*
Primary Phone Number:
*
Alternate Phone Number:
*
Home Email Address:
*
Check to allow Gloria Dei to use pictures of your child in social media.
*
I give permission for my child's picture to be used on our Church Website and Facebook page.
Comments:
*
Medical Information:
Allergies:
*
Does your child have any physical condition or illness that would prevent him or her from participating in the regularly scheduled activities?
*
Yes, If yes, please explain below
No
Comment
*
Food Allergies:
*
Does your child require a special diet?
*
Yes (If yes, please explain)
No
Comment
*
SUBMIT
Home
About Us
Church Staff
Contact Us
Map and Directions
Council Members
Ministries
>
EWALU Bible Camp
Companion Synod
Stephen Ministry
Weekly Announcements and Newsletter
Tidings Newsletter
Gloria Dei Calendar
Worship
Worship YouTube Videos
Worship Music
Youth
BLaST
Pre-confirmation
Middle School Youth
>
Confirmation
High School Youth
Get Connected
Growing in Faith
Giving