{"id":2191,"date":"2023-06-27T19:31:26","date_gmt":"2023-06-28T00:31:26","guid":{"rendered":"https:\/\/churchofstlukes.com\/?page_id=2191"},"modified":"2026-06-27T17:23:25","modified_gmt":"2026-06-27T22:23:25","slug":"form-vbs-registration-formmaker","status":"publish","type":"page","link":"https:\/\/churchofstlukes.com\/?page_id=2191","title":{"rendered":"Form-VBS Registration-FormMaker"},"content":{"rendered":"<div style=\"display:none\" class=\"fm-form-container fm-theme52\"><div id=\"fm-pages50\" class=\"fm-pages wdform_page_navigation \" show_title=\"\" show_numbers=\"1\" type=\"none\"><\/div><form name=\"form50\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F2191\" method=\"post\" id=\"form50\" class=\"fm-form form50  \" enctype=\"multipart\/form-data\"><input type=\"hidden\" id=\"fm_page_id50\" value=\"2191\" name=\"fm_page_id50\" \/><input type=\"hidden\" id=\"fm_current_post_type50\" value=\"page\" name=\"fm_current_post_type50\" \/><input type=\"hidden\" id=\"counter50\" value=\"33\" name=\"counter50\" \/><input type=\"hidden\" id=\"Itemid50\" value=\"\" name=\"Itemid50\" \/><input type=\"hidden\" id=\"fm_shake50\" value=\"1\" name=\"fm_shake50\" \/><input type=\"text\" class=\"fm-hide\" id=\"fm_empty_field_validation50\" value=\"\" name=\"fm_empty_field_validation50\" data-value=\"bd736efb144d599cf463541431fbf5c4\" \/><div class=\"wdform-page-and-images fm-form-builder\"><div id=\"50form_view1\" class=\"wdform_page\" page_title=\"Untitled page\" next_title=\"Next\" next_type=\"text\" next_class=\"wdform-page-button\" next_checkable=\"true\" previous_title=\"Previous\" previous_type=\"text\" previous_class=\"wdform-page-button\" previous_checkable=\"false\"><div class=\"wdform_section\"><div class=\"wdform_column\"><div wdid=\"2\" class=\"wdform_row\"><div type=\"type_editor\" class=\"wdform-field\"><p><img decoding=\"async\" src=\"https:\/\/churchofstlukes.com\/wp-content\/uploads\/2026\/06\/Rainforest_Falls_VBS-e1782585278808.png\" alt=\"\" data-mce-src=\"https:\/\/churchofstlukes.com\/wp-content\/uploads\/2026\/06\/Rainforest_Falls_VBS-e1782585278808.png\"><\/p><h2><span style=\"color: #ff0000;\" data-mce-style=\"color: #ff0000;\">2026 Rainforest Falls <\/span><span style=\"color: #ff0000;\" data-mce-style=\"color: #ff0000;\">VBS Registration Form<\/span><\/h2><h2><span style=\"color: #008000;\" data-mce-style=\"color: #008000;\"><em>Ages 4 through entering 6th Grade.<\/em><\/span><\/h2><h2><span style=\"color: #008000;\" data-mce-style=\"color: #008000;\"><em>August 2nd - 6th<\/em><\/span><\/h2><h2><span style=\"color: #008000;\" data-mce-style=\"color: #008000;\"><em>6:00pm - 8:30pm<\/em><\/span><\/h2><h2><span style=\"color: #008000;\" data-mce-style=\"color: #008000;\"><em>Church of St. Luke, Clearwater, MN.<\/em><\/span><\/h2><p><img decoding=\"async\" src=\"https:\/\/churchofstlukes.com\/wp-content\/uploads\/2019\/07\/StLukesLogo2.png\" alt=\"\" data-mce-src=\"https:\/\/churchofstlukes.com\/wp-content\/uploads\/2019\/07\/StLukesLogo2.png\"><\/p><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"3\" class=\"wdform_row\"><div type=\"type_editor\" class=\"wdform-field\"><div class=\"w3-code notranslate htmlHigh\"><\/div><table frame=\"box\"><tbody><tr><td><h3><span style=\"color: #800000;\">ONE FORM NEEDED FOR EACH PARTICIPANT<\/span><\/h3><\/td><\/tr><\/tbody><\/table><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"4\" class=\"wdform_row\"><div type=\"type_name\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_name\" ><div class=\"wdform-label-section wd-width-100  wd-flex-row\">    <label  for=\"wdform_4_element_first50\" class=\"wdform-label\">Name:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-width-100\" ><div class=\"wd-flex wd-flex-column wd-width-50\"><input type=\"text\" class=\"wd-width-100\" id=\"wdform_4_element_first50\" name=\"wdform_4_element_first50\" data-value=\"\" value=\"\" title=\"\" placeholder=\"\"  \/><label class=\"mini_label\" for=\"wdform_4_element_first50\">First<\/label><\/div><div class=\"wd-flex wd-flex-column wd-name-separator\"><\/div><div class=\"wd-flex wd-flex-column wd-width-50\"><input type=\"text\" class=\"wd-width-100\" id=\"wdform_4_element_last50\" name=\"wdform_4_element_last50\" data-value=\"\" value=\"\" title=\"\" placeholder=\"\"  \/><label class=\"mini_label\" for=\"wdform_4_element_last50\">Last<\/label><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"29\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_date_new\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_date_new\" ><div class=\"wdform-label-section wd-width-100  wd-flex-row\">    <label  for=\"wdform_29_element50\" class=\"wdform-label\">Birthdate (mm\/dd\/yy)<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-width-100\" ><input class=\"wd-width-100\" autocomplete=\"off\" onchange=\"wd_validate(this)\" data-form-id=\"50\" data-wdid=\"29\" data-valid-type=\"date\" type=\"text\" id=\"wdform_29_element50\" data-value=\"\" value=\"\" name=\"wdform_29_element50\"   \/><span id=\"fm-calendar-29\" class=\"dashicons dashicons-calendar-alt wd-calendar-button wd-hidden\"><\/span><input type=\"hidden\" class=\"hidden_date\" data-format=\"mm\/dd\/yy\" data-min=\"\" data-max=\"\" id=\"wdform_29_button50\" value=\"\" \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"6\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_text\" ><div class=\"wdform-label-section wd-width-100  wd-flex-row wd-align-items-center\">    <label  for=\"wdform_6_element50\" class=\"wdform-label\">Gender:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-100\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_6_element50\"                           name=\"wdform_6_element50\"                           value=\"\"                           data-value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"7\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_text\" ><div class=\"wdform-label-section wd-width-100  wd-flex-row wd-align-items-center\">    <label  for=\"wdform_7_element50\" class=\"wdform-label\">Age:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-100\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_7_element50\"                           name=\"wdform_7_element50\"                           value=\"\"                           data-value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"8\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_text\" ><div class=\"wdform-label-section wd-width-100  wd-flex-row wd-align-items-center\">    <label  for=\"wdform_8_element50\" class=\"wdform-label\">School grade your child is entering this year:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-100\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_8_element50\"                           name=\"wdform_8_element50\"                           value=\"\"                           data-value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"9\" class=\"wdform_row\"><div type=\"type_address\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_address\" ><div class=\"wdform-label-section wd-width-100 wdform_address wd-flex-column\">    <label  for=\"wdform_9_street150\" class=\"wdform-label\">Address<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex wdform_address wd-flex-column wd-width-100\" ><span class=\"wd-width-100 wd-address\" id=\"wdform_9_address_0\">                <input class=\"wd-width-100 wdform_9_address_0\" type=\"text\" id=\"wdform_9_street150\" name=\"wdform_9_street150\" value=\"\"  \/>                <label for=\"wdform_9_street150\" class=\"mini_label\">Street Address<\/label><\/span><span class=\"wd-width-100 wd-address\" id=\"wdform_9_address_1\">                <input class=\"wd-width-100 wdform_9_address_1\" type=\"text\" id=\"wdform_9_street250\" name=\"wdform_10_street250\" value=\"\"  \/>                <label for=\"wdform_9_street250\" class=\"mini_label\">Street Address Line 2<\/label><\/span><span class=\"wd-width-100 wd-flex wd-flex-row wd-flex-wrap wd-justify-content\"><span class=\"wd-width-49 wd-address\" id=\"wdform_9_address_2\">                <input class=\"wd-width-100 wdform_9_address_2\" type=\"text\" id=\"wdform_9_city50\" name=\"wdform_11_city50\" value=\"\"  \/>                <label for=\"wdform_9_city50\" class=\"mini_label\">City<\/label><\/span><span class=\"wd-width-49 wd-address\" id=\"wdform_9_address_4\">              <input class=\"wd-width-100 wdform_9_address_4\" type=\"text\" id=\"wdform_9_postal50\" name=\"wdform_13_postal50\" value=\"\"  \/>              <label for=\"wdform_9_postal50\" class=\"mini_label\">Postal \/ Zip Code<\/label><\/span><\/span><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"15\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_text\" ><div class=\"wdform-label-section wd-width-100  wd-flex-row wd-align-items-center\">    <label  for=\"wdform_15_element50\" class=\"wdform-label\">Parent(s) name(s):<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-100\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_15_element50\"                           name=\"wdform_15_element50\"                           value=\"\"                           data-value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"16\" class=\"wdform_row\"><div type=\"type_phone_new\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_phone_new\" ><div class=\"wdform-label-section wd-width-100 \">    <label  for=\"wdform_16_element50\" class=\"wdform-label\">Phone Number 1:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-width-100\" ><input type=\"text\"                       class=\"wd-width-100\"                       id=\"wdform_16_element50\"                       name=\"wdform_16_element50\"                       value=\"\"                       data-value=\"\"                       placeholder=\"\"  \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"17\" class=\"wdform_row\"><div type=\"type_phone_new\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_phone_new\" ><div class=\"wdform-label-section wd-width-100 \">    <label  for=\"wdform_17_element50\" class=\"wdform-label\">Phone Number 2:<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-width-100\" ><input type=\"text\"                       class=\"wd-width-100\"                       id=\"wdform_17_element50\"                       name=\"wdform_17_element50\"                       value=\"\"                       data-value=\"\"                       placeholder=\"\"  \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"18\" class=\"wdform_row\"><div type=\"type_submitter_mail\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_submitter_mail\" ><div class=\"wdform-label-section wd-width-100  wd-flex-row\">    <label  for=\"wdform_18_element50\" class=\"wdform-label\">Email:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-width-100\" ><input type=\"text\" class=\"wd-width-100\" id=\"wdform_18_element50\" name=\"wdform_18_element50\" data-value=\"\" value=\"\" title=\"\" placeholder=\"\"   onchange=\"wd_check_email('18', '50', 'This is not a valid email address.')\" \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"19\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_text\" ><div class=\"wdform-label-section wd-width-100  wd-flex-row wd-align-items-center\">    <label  for=\"wdform_19_element50\" class=\"wdform-label\">Emergency contact:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-100\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_19_element50\"                           name=\"wdform_19_element50\"                           value=\"\"                           data-value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"20\" class=\"wdform_row\"><div type=\"type_phone_new\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_phone_new\" ><div class=\"wdform-label-section wd-width-100 \">    <label  for=\"wdform_20_element50\" class=\"wdform-label\">Emergency contact phone number:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-width-100\" ><input type=\"text\"                       class=\"wd-width-100\"                       id=\"wdform_20_element50\"                       name=\"wdform_20_element50\"                       value=\"\"                       data-value=\"\"                       placeholder=\"\"  \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"21\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_text\" ><div class=\"wdform-label-section wd-width-100  wd-flex-row wd-align-items-center\">    <label  for=\"wdform_21_element50\" class=\"wdform-label\">Allergies or other medical conditions we should know about:<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-100\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_21_element50\"                           name=\"wdform_21_element50\"                           value=\"\"                           data-value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"22\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_text\" ><div class=\"wdform-label-section wd-width-100  wd-flex-row wd-align-items-center\">    <label  for=\"wdform_22_element50\" class=\"wdform-label\">Name of home parish\/church:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-100\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_22_element50\"                           name=\"wdform_22_element50\"                           value=\"\"                           data-value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"23\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_text\" ><div class=\"wdform-label-section wd-width-100  wd-flex-row wd-align-items-center\">    <label  for=\"wdform_23_element50\" class=\"wdform-label\">I hereby GRANT permission for my child To attend Rainforest Falls VBS at the Church of St. Luke on August 2nd - 6th, 2026:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-100\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_23_element50\"                           name=\"wdform_23_element50\"                           value=\"\"                           data-value=\"\"                           title=\"(enter child&#039;s name here)\"                           placeholder=\"(enter child&#039;s name here)\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"32\" class=\"wdform_row\"><div type=\"type_own_select\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_own_select\" ><div class=\"wdform-label-section wd-width-100 wdform_select wd-flex-row\">    <label  for=\"wdform_32_element50\" class=\"wdform-label\">I hereby GRANT\/DO NOT GRANT permission for St. Luke to possibly use a photo of my child at VBS on the last night for the slide show at the church:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex wdform_select wd-flex-row wd-width-100\" ><select class=\"wd-width-100\" id=\"wdform_32_element50\" name=\"wdform_32_element50\" ><option value=\"\" selected=\"selected\">Select value<\/option><option value=\"GRANT\" >GRANT<\/option><option value=\"DO NOT GRANT\" >DO NOT GRANT<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"30\" class=\"wdform_row\"><div type=\"type_date_new\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_date_new\" ><div class=\"wdform-label-section wd-width-100  wd-flex-row\">    <label  for=\"wdform_30_element50\" class=\"wdform-label\">Today's date (mm\/dd\/yy)<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-width-100\" ><input class=\"wd-width-100\" autocomplete=\"off\" onchange=\"wd_validate(this)\" data-form-id=\"50\" data-wdid=\"30\" data-valid-type=\"date\" type=\"text\" id=\"wdform_30_element50\" data-value=\"&#039;today&#039;\" value=\"&#039;today&#039;\" name=\"wdform_30_element50\"   \/><span id=\"fm-calendar-30\" class=\"dashicons dashicons-calendar-alt wd-calendar-button wd-hidden\"><\/span><input type=\"hidden\" class=\"hidden_date\" data-format=\"mm\/dd\/yy\" data-min=\"\" data-max=\"\" id=\"wdform_30_button50\" value=\"&#039;today&#039;\" \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"1\" class=\"wdform_row\"><div type=\"type_submit_reset\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_submit_reset\" ><div class=\"wdform-element-section wd-flex  wd-flex-row wd-justify-content-left wd-width-100\" ><button  type=\"button\" class=\"button-submit\" onclick=\"fm_submit_form('50');\"  data-ajax=\"0\"><span class=\"fm-submit-loading spinner fm-ico-spinner\"><\/span>Submit<\/button><button  type=\"button\" class=\"button-reset wd-hidden\" onclick=\"fm_reset_form(50);\" >Reset<\/button><\/div><\/div><\/div><\/div><\/div><div valign=\"top\" class=\"wdform_footer wd-width-100\"><div class=\"wd-width-100\"><div class=\"wd-width-100 wd-table\" style=\"padding-top:10px;\"><div class=\"wd-table-group\"><div id=\"50page_nav1\" class=\"wd-table-row\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_preload\"><\/div><input type=\"hidden\" name=\"fm-current-page\" value=\"https:\/\/churchofstlukes.com\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F2191\" \/><\/form><\/div>\n","protected":false},"excerpt":{"rendered":" <a class=\"more-link\" href=\"https:\/\/churchofstlukes.com\/?page_id=2191\"><span class=\"more-msg\">Continue reading &rarr;<\/span><\/a>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-2191","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/churchofstlukes.com\/index.php?rest_route=\/wp\/v2\/pages\/2191","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/churchofstlukes.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/churchofstlukes.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/churchofstlukes.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/churchofstlukes.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2191"}],"version-history":[{"count":6,"href":"https:\/\/churchofstlukes.com\/index.php?rest_route=\/wp\/v2\/pages\/2191\/revisions"}],"predecessor-version":[{"id":3401,"href":"https:\/\/churchofstlukes.com\/index.php?rest_route=\/wp\/v2\/pages\/2191\/revisions\/3401"}],"wp:attachment":[{"href":"https:\/\/churchofstlukes.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2191"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}