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Bethlehem Lutheran School Community Service Requirement Form Bethlehem Lutheran School Community Service Requirement Form PLEASE PRINT Student Name ____________________________________ Date___________________ School Year _________________ Number of Service Hours ________________ Describe the Servant Event (example: helped with VBS) __________________________________________________________ ___________________________________________________________ Servant Event Location ________________________________________________________ Adult Supervisor’s Signature ________________________________________________________ Completed forms should be given to your teacher. Making a copy for your own records is recommended.