NEW USER? LOG IN
(Not Logged In)
PASTOR:
John Schelter
DIRECTOR OF MUSIC:
Kathryn Utroska
MINISTERS:
The people of
Our Savior Lutheran Church
Email: osl@airmail.net
411 N. Town East Blvd
Mesquite, TX
Phone: 972-226-0510
Fax: 972-226-0722
You are here: Skip Navigation LinksOSL Home > Vacation Bible School - 2010 > VBS Registration
Child's Name
Grade Completed
Age
Parent's Names Please List - separate by commas:
Home Address
Home Phone
Alternate Phone
Emergency Contact
Relationship to student
Home Phone
Alternate Phone
Food Allergies
Medical Concerns
  Family Doctor
  Doctor's Phone
  Siblings attending VBS
  (names & ages)
 Please separate names with commas:
  Church Affiliation
  Church Membership
  People who may pick up child Please separate by commas:
 
  Transportation Needed  
  Attendance  
T-Shirt size:

** I hereby grant the VBS leaders permission to photograph/film the minor(s) designated above in any manner or form for any lawful purpose associated with this VBS program.
 
411 N. Town East Blvd, Mesquite, TX
Phone: 972-226-0510
Copyright © 2012 Our Savior Lutheran Church