Science Camp - VBS 2017 Registration Form

Beautiful Savior's Science Camp (VBS 2017)

June 12-16th

9:00am - Noon

For children entering kindergarten through 6th grade

It'll be a week full of exciting science experiments, music, snacks and more... as we learn about our Savior.
Parent's Name:*
Phone #:*
Email Address:*
Emergency Contact Name:*
Emergency Contact Phone #:*
1st Child's Name:*
1st Child's grade level:*
2nd Child's Name:
2nd Child's grade level:
3rd Child's Name:
3rd Child's grade level:
4th Child's Name:
4th Child's grade level:
Please describe any food allergies or medical conditions for any registered children:
Does your family have a home church you regularly attend?
Beautiful Savior Lutheran Church (BSLC) reserves the right to use any photograph/video taken at this BSLC event, without the expressed written permission of those included within the photograph/video. BSLC may use the photograph/video in publications or other media material produced, used or contracted by BSLC including but not limited to: brochures, invitations, books, newspapers, magazines, television, websites, etc. To ensure the privacy of individuals and children, images will not be identified using full names or personal identifying information without written approval from the photographed subject, parent or legal guardian. Please click the following checkbox to agree.*