SUMMER VBS at LIFESONG Registration

mylifesongchurch.com
SUMMER VBS at LIFESONG
AUG 4 - 7 | 9:00AM - 12noon | Ages 2-preschool + K-5th grade
spots are limited and first come first serve!
Registration
Name________________________________________
Address______________________________________
Phone_______________________________________
Email________________________________________
Child’s Birthday_______________________________
Preschool Age _______
Grade K - 5th
Grade for 2015-2016_______________
Allergies_____________________________________
Parent's Names_______________________________
Child’s Tee Shirt Size ___________________________
I grant LifeSong church and its representatives the right to take photographs, video and or
electronic images of any member of my family in the LifeSong Environment during VBS. I
authorize LifeSong to copyright, use and publish the photographs, video or electronic
images in print and/or electronically for any lawful purpose. My signature below indicates
that I have read and understand the above statement of release.
Parent signture:___________________________________________