Conference Registration for 2010 Winter Conference

St. Paul's Lutheran Church - Monroe, Michigan (August 8-10, 2011)

New Hope Lutheran Church - Toledo, Ohio (August 15-17, 2011)

Register Now for Vacation Bible School
Please include all information below. VBS at St. Paul's, Monroe is August 8-10, 2011 from 6:30pm-8:30pm. VBS at New Hope, Toledo is August 15-17, 2011 from 6:00pm-8:00pm.

At which church?

Name of Parent/Guardian *

First

Last

Address *

Street Address
Address Line 2
City	State / Province / Region
Postal / Zip Code	Country

Email

Name of Child #1

First

Last

Age/Grade of Child #1

Name of Child #2

First

Last

Age/Grade of Child #2

Name of Child #3

First

Last

Age/Grade of Child #3

Name of Child #4

First

Last

Age/Grade of Child #4

Name of Child #5

First

Last

Age/Grade of Child #5

Church Affiliation (if any)

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