Vacation Bible School (VBS) Registration
Power Lab June 16th-20th
9:00 a.m.-11:30 a.m.
 

Click Here To Download Acrobat Reader

Filling out and submitting this online registration form will take you to the credit card payment page, which is required to complete online registration.

**If you register by June 1st, the registration fee includes
t-shirt, music CD and songbook!**

Child's Name:   Age:   must be toilet trained
Grade Entering In Fall: Male Female

Youth T-Shirt Size

XS (2-4)

S (6-8)

M (10-12)

L (14-16)

XL (18)

Adult T-Shirt Size

 M L XL    
Child's Name:

Age:

 must be toilet trained
Grade Entering In Fall: Male Female

T-Shirt Size

XS (2-4)

S (6-8)

M (10-12)

L (14-16)

XL (18)

Adult T-Shirt Size

 M L XL    
Child's Name:

Age:

 must be toilet trained
Grade Entering In Fall: Male Female

T-Shirt Size

XS (2-4)

S (6-8)

M (10-12)

L (14-16)

XL (18)
  M L XL    
Child's Name:

Age:

 must be toilet trained
Grade Entering In Fall: Male Female

T-Shirt Size

XS (2-4)

S (6-8)

M (10-12)

L (14-16)

XL (18)
  M L XL    
Street Address:
City: Zip:
Email:
Parent's Name:    
Home Phone: Cell Phone:
Where do you regularly worship?
Alternate Contact Name:
Alternate Contact Number:
Relation To Child:
Special Needs:
Allergies:
My Child Would Like To Be In The Same Group As:
 

Registration fee of $10.00 per child. Fee will include t-shirt and music CD.
(Your credit card statement will show up as "EDJE Technologies").

*Shepherd of the Valley Lutheran Church reserves the right to publish
VBS photographs on our church website and local community publications.

Would you consider giving of your time and partnering with us to show kids of West Des Moines and the surrounding area how much Jesus cares for them?

Set-up, decorations

 Snacks/Preparation

Nursery Care

 Drama/Puppets
Recreation

Crafts/Preparation
Registration  Publicity/Bulletin Board
Closing Program Clean-up
 
Name:  

Age:
Telephone      
Email:

Days you can help:

Monday Tuesday Wednesday Thursday Friday
 
Need nursery care for young children? Yes    No
How many?   Ages?

Register your children, their friends, and neighbors and join us in getting kids fired up about JESUS!!!

Click Here To Download Acrobat Reader

If you are interested, please contact the church office at 225-1623.

Lutheran Church, Missouri Synod  |  3900 Ashworth Road, West Des Moines, Iowa 50265  |  Phone: (515) 225-1623

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