St Andrew Lutheran Church
West Bend, WI

   
On line registration for St. Andrew Vacation Bible Shool.
All fields marked with a * are required:
Parent's Name *
Address *
City, Zip *
Phone *
Cell or Alt Phone
Email *
Emergency Contact Information *
Who is allowed to pick up? *
Child #1 Name *
Date of Birth #1 *
Grade Entering #1 *
(As of 9/1/2017)
Food Allergies
Child #2 Name
Date of Birth #2
Grade Entering #2
(As of 9/1/2017)
Food Allergies #2
Child #3 Name
Date of Birth #3
Grade Entering #3
(As of 9/1/2017)
Food Allergies #3
Child #4 Name
Date of Birth #4
Grade Entering #4
(As of 9/1/2017)
Food Allergies #4
Child #5 Name
Date of Birth #5
Grade Entering #5
(As of 9/1/2017)
Food Allergies #5
Do we have permission to take photos of your children for use at St Andrew? (Please enter "Yes" or "No") *


 
 

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