Immanuel Lutheran Church

600 4th Steet SW

Crosby, MN 56441



August 2 – 5, 2021

5:30p – 7:00p


First & Last Name
Please list any allergies or medical conditions for which the staff needs to be aware.
Other than Parent/Guardian
Or add more children, if needed.

Suggested donation of $10 per child or $30 per family to help with VBS expenses. No one will be turned away because of an inability to pay. Please make checks payable to Immanuel Lutheran Church. Any questions, please call 218-546-6010.