Share this:June 6-9, 2022 · 9:00-11:30 a.m.For children who are at least 4 years old by June 1 – students exiting 5th grade.2022 VBS Registration Registration Information for Vacation Bible School children"*" indicates required fieldsChild's Name* First Last Child's Birth Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Grade just completed*Parent or Guardian Name* First Last Parent Phone*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Enter Email Confirm Email Emergency Contact Name* First Last Emergency Contact Phone*Is there anything special we need to know about your child? (For example: allergies, special needs)Names of all with permission to pick up your child from VBS:*Does your family have a church home, and if so, where?*Is your child a special guest of someone from Lakeland Pres? If so, who?CommentsThis field is for validation purposes and should be left unchanged.
