Contents Search

Heritage Lutheran Church
LC-MS Cross

 Home
About Heritage
Worship Services
Newsletter
Monthly Calendar
Sunday Bulletin
Church History
Lutheran Beliefs
Lutheran Links

Heritage Lutheran Church
308 N. Washington Street
Valparaiso, IN 46383

Heritage Lutheran Church—Vacation Bible School

June 21-25, 2010

9:00—11:00 AM

For information, call 464-2810 or email heritagelc@verizon.net

Registration Form

Children’s Names:

________________________________________ Age____ Grade_______

 

________________________________________Age____  Grade_______

 

________________________________________ Age____ Grade_______

Parent’s Names

_________________________________________________________________

Address

_________________________________________________________________

Home Phone___________________  Emergency phone________________

Food Allergies   Yes  No  List Allergies_____________________________

Medical Concerns  Yes  No  Explain________________________________

Church Membership at

____________________________________________________________________

Guest of

____________________________________________________________________

________________________________________ Age____ Grade_______