Register Now VBS 2018!
Use the following form to register your child for our 2018 VBS.
To register as a "Volunteer," please use the Volunteer Registration.
If you have any questions, please contact us!
Begin Registration
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Welcome to the 2018 VBS Participant Registration! We are looking forward to having your child with us June 25-29! Please fill out the following questions to help us best serve the needs of your child. First, let's get some general information out of the way.

 
What is the FIRST name of the child participating in VBS? *

If registering multiple children, please use a separate registration for each child.
 
What is the LAST name of the child participating in VBS? *

If registering multiple children, please use a separate registration for each child.
 
Child's Gender


 
Grade completed as of June 2018: *


 
Please select one of following:


 
Is there another child that you would like to be in the same group as your child? *

If answered "yes", you can add that name later.
     
 
Please provide the name of the child you wish your child to be placed with.

We will do our best to accommodate requests that are made.
 
Now that we've gotten the general information out of the way, it's time to move onto any pertinent medical information our volunteers may need during the week of VBS

 
WARNING: Food & snacks served throughout the week may contain common allergen ingredients. If your child cannot consume peanuts, gluten, dairy, soy, or any other ingredient, DO ALL OF THE FOLLOWING:

- Make sure you note your child's allergy in this registration form
- Send your child with snack from home each day
- Communicate directly with the kitchen staff regarding your child's allergy and measures YOU will take to keep them safe.
 
Does your child have any allergies that we need to be aware of? *

     
 
Please provide a list of all the allergies your child has:

 
Does your child have any medical conditions or special needs that we need to be aware of? *

     
 
Please provide detailed information regarding the medical/special needs your child has.

 
MEDICAL RELEASE: I hereby give my permission for the VBS Staff to administer first aid to my child (named in this registration) in the event of an injury. I understand that the VBS Staff will contact emergency services in the event of a significant injury and all expenses for such emergency services will be paid by me. *

     
 
We're just about done with the general info section. But first, let's talk about our Photo Policy at Peace Lutheran Church.

 
During the week of VBS, we will be taking pictures to show during the closing session of each day. These photos will not be distributed or made available to the public. Please note: large group photos will be taken during opening & closing sessions and may be posted to the church's Facebook page. These photos will not be close-ups nor will they be used for any other purpose than to show the week's activities with our members.

 
I hereby grant Peace Lutheran Church permission to copyright and use photographs/videos taken at VBS of the minor designated above in any manner or form for any purpose lawful at any time. I waive any right that I may have to inspect or approve the finished product or written copy, that may be used in conjunction therewith, or the use to which it may be applied. *

If you have any questions about our policy or would like a copy of our complete Photo Policy, contact the Church Office. Remember, your privacy is important to us.
     
 
You're almost done! Now that the general and medical information is out of the way, time to make sure we have the correct contact information for you.

 
Emergency Contact during VBS: *

 
Emergency Contact #: *

 
Parent/Guardian LAST Name: *

 
Parent/Guardian FIRST Name: *

 
Parent/Guardian Cell Phone #: *

 
Have you already filled out the contact information section for another child in your household that you have already registered? *

If so, click "Yes" and you will be taken to the end of the registration... because who wants to type out all that information more than once! If this is your first registering a child for 2018 VBS, please select "No."
     
 
Parent/Guardian Home Phone #: *

 
Address Line 1: *

 
Address Line 2:

 
City: *

 
State: *

 
Zip Code: *

 
What is the name of your Home Church?

If you are looking for a church home, check out our website for more information. We'd love to have you join us for worship!
 
Would you like to purchase a t-shirt with this year's VBS logo? *

Youth Sizes = $5 each
Adult Sizes = $10 each
     
 
Please select your child's t-shirt size: *


 
Would you like to purchase a copy of this year's VBS music? *

     
 
Please select a music format: *

By selecting "Digital Download" you will be given an access code allowing you to download the music directly to your computer which can then by synced with iTunes  & Google Play.

 
Your Order Total is: {{var_price}} *

All t-shirt and music orders will be available for pickup in the Foyer on Sundays starting in June. They can also be picked up during the week of VBS.
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Thanks for registering for VBS 2018!
June 25-29 | 9am-Noon
Peace Lutheran Church - Hurst, TX

PLEASE CHECK YOUR EMAIL REGULARLY FOR IMPORTANT VBS UPDATES

Stay up to date with Peace Church at...
Web: peacechurch.org
Instagram: @peacechurchdfw
Mobile App: The Peace Church App
(available on Google Play & iTunes Store)
Need to register another child? Click here:
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