Sunday, August 2nd through Thursday, August 6th from 4:45pm-8pm with supper at Viking Middle School in Woodville, WI. Open to ages 4 (on or before 8-1-09) to 12. Children need to be potty trained. Sponsored by: Zion Lutheran Church, Gethsemane Lutheran Church, 1st United Presbyterian Church, 1st Reformed Church, and Christian Reformed Church.

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Child's Name
T-Shirt Size
Age
Date of Birth
Grade this Fall
Name of Siblings Attending VBS
Parent's Name
Address
City/State/Zip Code
E-mail Address
Home Phone Number
Cell Phone Number
Emergency Contact
Relationship
Phone Number
Allergy/Health Conditions
I am willing to help with VBS all or some of the nights (please specify which nights).
Your E-mail Address