VBS Registration Form 2019

Use this form to register students for Resurrection's 2019 Vacation Bible School.

Pay your Registration Fees HERE.

Youth or Adult Participant?
Zip Code
Date of Birth
Age as of June 1, 2018
Last School Grade Completed
Tee Shirt Size
Parent/Family/Guardian Name
Home Phone
Cell Phone
Work Phone
Currently Taking Medication?
Allergies or Other medical needs we should know about?
Emergency Contact 1
Phone Number 1
Emergency Contact 2
Phone Number 2
Dismissal Information: Name(s) of person(s) who may pick up this child from VBS.
I give Resurrection Lutheran Church permission to use any photograph/video of my child during any activities in future promotional materials, news releases or websites.
Electronic Signature
Today's Date

1919 Independence Pkwy Plano, Texas 75075 USA
Contact Us
972-867-0460    972-758-7921 (fax)
8:30 - 4:30 M-F
PURPOSE: To unite as many persons as will share its confession of faith in a fellowship of Worship, Learning, Witness and Service that the Word of God in Jesus Christ may become effective in their lives together and individually.