2021 LMBC Vacation Bible School Registration June 7-11th

Child's Name

Parent/Guardian's Name

Parent/Guardian's Cell Phone

Alternate Phone

Address

This address will receive a confirmation email

Emergency Contact

Emergency Contact Phone

Child's Birthday

Age/Completed Grade. Child must have completed Kindergarten to attend VBS.

Please list all Medical Conditions or Allergies

Who may pick your child up each day?

LMBC takes promotional photos and video and during VBS. Also, photos are sometimes used by classes and for craft purposes. May we have permission to photograph/video your child?

Yes No

Description

June 7-11th 8:15-11:30 am

We are looking forward to having your child/children at VBS at Longview Missionary Baptist Church. Please fill out this form and click submit.

2021 LMBC Vacation Bible School Registration June 7-11th

Description

Please Fix the Following