VBS 2025

Joseph’s Journey from Prison to Palace

Registration Form

Please complete the form below to register for 2025 VBS at Our Savior Lutheran.

VBS Registration Form

Name(Required)

First Middle Last

Nickname

For the name tag (optional)

Birth Date(Required)

MM slash DD slash YYYY

Grade in Fall 2024(Required)

Kindergarten

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

6th Grade

Gender(Required)

Male

Female

T-Shirt Size(Required)

Youth XS

Youth S

Youth M

Youth L

Youth XL

Adult S

Adult M

Adult L

Address(Required)

Street Address Address Line 2 City ZIP Code

Parent Information

Mother's Name(Required)

First Last

Mother's Email(Required)

Mother's Phone(Required)

Mother Text Messages(Required)

Yes

No

Father's Name(Required)

First Last

Father's Email(Required)

Father's Phone(Required)

Father Text Messages(Required)

Yes

No

Emergency Medical Information

Any medical conditions?(Required)

Yes

No

List all medical conditions

Any Special Needs?(Required)

Yes

No

List all special needs

Emergency Contact & Pickup

Emergency Contact Name(Required)

(other than mom or dad)

Emergency Contact Phone(Required)

Relationship to Student(Required)

List all adults including parents authorized to pick up your child

First and Last Name - Photo ID required - One name per line

Other

How did you hear about Our Savior Lutheran's VBS?(Required)

I am a member of OSL

Family / Friend

Facebook

Instagram

Street Banner

OSL Website

Other

Additional Comments

Permissions

Media Consent(Required)

I give my consent to OSL to take pictures or video of my child(ren) for publicity use on the youth bulletin board, on the youth room wall, in newspaper articles, brochures, Facebook/Social Media, or on the OSL website.

I agree(Required)

Bulletin Name Consent(Required)

I give my consent to OSL to use only first name on the youth bulletin board, on the youth room wall, in the newspaper articles, brochures, on Facebook/Social Media or on the website.

I agree(Required)

Emergency Consent(Required)

In case of emergency, I authorize Our Savior Lutheran Church to seek medical attention for my child. Our Savior Lutheran Church does not assume any financial responsibility, but will provide or arrange for emergency care. By submitting this form, you are giving the appropriate VBS personnel authority to call EMS, to transport, or to obtain medical care if you or the alternate adults cannot be reached.

I agree(Required)

Authorized Signature(Required)