Living Waters Family VBS

Living Waters Lutheran Church
865 Birch Street
Lino Lakes, MN 55014

651.481.0220
http://www.livingwaterslutheran.org

Living Waters’ Family Vacation Bible School will be held on the evenings of Monday, August 15 – Wednesday, August 17, from 5:30pm-8pm! At Living Waters, VBS is for the whole family! This year our Vacation Bible School theme is Wilderness Camping Adventure! The evening will include dinner, music, puppets, games, arts & crafts, and exploring camping skills.

Participant Information

Name

Age

Grade (2016-17)

Name

Age

Grade (2016-17)

Name

Age

Grade (2016-17)

Name

Age

Grade (2016-17)

Names & Ages of any older siblings who would like to participate as Junior Leaders

Household / Adult Primary Contact

Name *

Relationship to Participants: *

Parent

Guardian

Other Other

Address 1 *

City *

State *

Zip *

Phone #1 *

Phone #2

Email Address *

Additional & Emergency Information

Please list any special considerations the VBS staff should be aware of (allergies, learning differences, medical conditions, medications)

In case of emergency (if parent/guardian cannot be reached) please contact:

Name *

Phone *

In the unlikely event of an emergency, if I cannot be contacted, I give permission to Living Waters adult leadership to seek proper medical care. I also understand that photographs and videos may be taken of my child during church programming; I give permission for those photos/videos to be used for promotional or other purposes. *

I agree

Health Insurance Information