Bethel Lutheran Church

2009 Vacation Bible School
Aug. 3-7 from 9 a.m. to 12:00 noon
Student Registration

You can register online using this form, or you can print this form and return it to:

Bethel Lutheran Church
4501 Hoover Road
Grove City, OH  43123

Please register by July 31.  If you need additional information, call 614-875-0510.

***Due to limited space, children must be 4 yrs. old by Aug. 7 to enroll***

Student's Name:

Birth Date:  mm/dd/yy              Last Grade Completed:   

Does the student attend church school?    Yes           No

        If so, where? 

Known allergies or other medical concerns:


Parent's Name:  

Address:  

City:       State:        Zipcode:  

E-Mail Address:  

Home Phone:        Work/Cell Phone:       

Emergency Phone:              Health Care Phone:  

Other Comments:

     

Copyright © 2007 Bethel Lutheran Church.