VBS 2025 @ Lakeview Baptist Church June 8-12
Please fill out this form and click submit.
Child Name
*
Parent/Guardian Name
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
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GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Mailing Address (if different)
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Phone
*
Email
*
This address will receive a confirmation email
Age information
Age
*
Birthday
*
Last Grade Completed in School
*
T-Shirt Size
*
Please select one option.
Youth XS
Youth S
Youth M
Youth L
Adult S
Adult M
Adult L
Adult XL
Select Option
Youth XS
Youth S
Youth M
Youth L
Adult S
Adult M
Adult L
Adult XL
Medical information
Medical or Other information we need to know (Please include any food allergies)
*
Emergency Contact
Name
*
Phone
*
Name
*
Phone
*
Dismissal Information
Who may pick up your child at the end of each VBS day?
*
Other Info
Do you attend church? if so where?
If you are visiting our church, who are you a guest of?
*
May we have permission to photograph your child?
*
Please select all that apply.
Yes
No
May we have permission to use your child's photograph for the purpose of promotion?
*
Please select all that apply.
Yes
No
Submit
Description
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