First Lutheran Church | Janesville, WI

612 N Randall Ave, Janesville, WI 53545

608-752-7434 | office@flcj.org

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Vacation Bible School / Day Camp
August 7-10

This year we head to Babylon and discover Daniel’s Courage in Captivity!

Young children ages 3, 4, and 5 are welcome to Vacation Bible School, 9-11:30am, August 7-10. Children should be potty trained.
Children entering grades 1-6 are welcome to Day Camp, 9-2:30pm, August 7-10.

Parent/guardian completing this form: *

Parent/guardian preferred email: *

Parent/guardian preferred phone number: *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Child 1 Name *

Child 1 Grade *

Food Allergies

DairyGrainEggsPeanutsOther Nuts

Life Threatening

YesNo

Please list any allergies, medications, comments, or special needs that may pertain to our work with your child:

Child 2 Name

Child 2 Grade

Food Allergies

DairyGrainEggsPeanutsOther Nuts

Life Threatening

YesNo

Please list any allergies, medications, comments, or special needs that may pertain to our work with your child:

Child 3 Name

Child 3 Grade

Life Threatening

YesNo

Food Allergies

DairyGrainEggsPeanutsOther Nuts

Please list any allergies, medications, comments, or special needs that may pertain to our work with your child:

Child 4 Name

Child 4 Grade

Food Allergies

DairyGrainEggsPeanutsOther Nuts

Life Threatening

YesNo

Please list any allergies, medications, comments, or special needs that may pertain to our work with your child:

Consent to Photography Use for congregational purposes: *YesNoPlease contact me for more details

I would like to register my child/children for the following: *

Vacation Bible School, 9am-11:30, August 7-10, for ages 3,4, and 5Day Camp, 9am-2:30pm, August 7-10, for children entering grades 1-6

I consent that my child/children has/have permission to participate in all Sunday School/Confirmation/Youth Group activities, under supervision. First Lutheran Church and its personnel will not be held responsible for accidents or personal injury arising there from. *YesPlease contact me

Comments / Questions:

If you have questions please contact Renee at rengen@flcj.org.

CONTACT

First Lutheran Church
612 N Randall Ave
Janesville, WI 53545
608.752.7434
office@flcj.org

WORSHIP

Sunday Mornings
8am (In-Person)
9:30am (In-Person & Livestream)

Vacation Bible School / Day Camp August 7-10

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WORSHIP

CONNECT

Vacation Bible School / Day Camp
August 7-10