VBS 2019 Registration

 

Please complete the form below

Child's Name *
Child's Name
2019-2020
If you plan on purchasing a t-shirt for your child.
Child #2
Child #2
2019-2020
If you plan on purchasing a t-shirt for your child.
Child #3
Child #3
2019-2020
If you plan on purchasing a t-shirt for your child.
Child #4
Child #4
2019-2020
If you plan on purchasing a t-shirt for your child.
Child #5
Child #5
2019-2020
If you plan on purchasing a t-shirt for your child.
Parent/Guardian *
Parent/Guardian
Phone
Phone
List Child and Conditions. N/A if none
(If not LWCC)
Photo/Video Release *
I (we) understand that my child(children) may be photographed or filmed though out the year. These photos/videos may be used within the church building and in church publications such as but not limited to: website, Facebook, Instagram, Newsletter, and brochures. I agree and give permission for the photo/video release for my minor(s) to be used on these church-related platforms.
VBS T-Shirt *
I would like to purchase a VBS t-shirt for my child(ren). Must order by June 16th.