VBS REGISTRATION 2025
August 4 - 8 - Monday - Friday 9:30 am - 12:30 pm | Vacation Bible School Registration
Living Word Christian Fellowship
Parent/Guardian Information
Name
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
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ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
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MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
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OK
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OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Email
*
This address will receive a confirmation email
Mobile Phone
*
Emergency Contact Name
*
Emergency Contact - Relationship to Participant
*
Emergency Contact Phone Number
*
Home Church Affiliation
*
Photo Consent
Yes
*
Please select all that apply.
I give consent to have my child's photograph taken during VBS activities.
Who has permission to pick up your child(ren) - give two options.
Option One Name
*
Option Two Name
*
Participant Information
Grade Entering
*
Please select one option.
Pre K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Select Option
Pre K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Participant Name
*
Gender
*
Please select one option.
Male
Female
Select Option
Male
Female
Date of Birth
*
Allergies
*
Medical Concerns
*
Do you have friends you would like to be placed with? We will do our best to group selected friends together in the same crew but we cannot promise all requests will be possible.
Comments
PRESS SUBMIT TO REGISTER
Submit
Description
August 4 - 8 - Monday - Friday 9:30 am - 12:30 pm
Vacation Bible School Registration
Living Word Christian Fellowship
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