Vacation Bible School!!! 
Event Timing: July 31-August 3, 2023  9:00 am-Noon
Early drop-off will be available beginning at 7:30 AM 
Event Address: St. Mark’s Lutheran Church
140 S Green Bay Rd, Neenah, WI 54956
Contact us at (920) 725-2828  or Office@stmarksneenah.org

Sign in to Google to save your progress. Learn more
VBS sponsored by 
St. Mark’s Lutheran Church
Name-Child 1
 *
Date of Birth-Child 1:
 *
Date
Grade (2022-2023)-Child 1
 *
Who will have the shirt ?  *
T-Shirt Size:
 *
Name Name-Child 2
Date of Birth-Child 2
Date
Grade (2022-2023)-Child 2
Who will have the shirt? 
Clear selection
T-Shirt Size:   
Clear selection
Name-Child 3
Date of Birth-Child 3
Date
Grade (2022-2023)-Child 3
T-Shirt Size:   
Clear selection
Address  *
Phone  *
Email  *

In Case of Emergency, Contact Name

 *
Emergency Contact Relationship to Child: 
 *
Emergency Contact Phone Number
 *

In case of Medical Emergency, please provide medical preferences (ThedaCare, Ascension, individual physician, etc.) 

 *
Known allergies or other medical conditions: 
 *
Parents/Guardian Names
 *
Others allowed to pick up my child(ren) 

Yes, I hereby give consent for my child(ren) to have his/her picture taken and displayed in the church and/or on sponsoring churches’ website/Facebook Page: 

 *

Will you be dropping off your child(ren) for the Early Drop-off Time starting at 7:30 AM?                                                                                                       

 *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms