LWC VBS 2021 Registration (Family)
July 5-9, 2021, 6 pm to 8:00 pm | Lisbon Wesleyan Church
48 Church St, Lisbon, NY
(315) 315 1079
Vacation Bible School 2021
Awakened - Deepening Faith in God
For Ages: Going into kindergarten through finished grade 6
(There will not be a toddlers program this year. )
LIMITED SPACE AVAILABLE THIS YEAR
Registration will close June 28th 2021 or until all available space is filled.
Attendees will be required to adhere to current State Health Department guidelines during the event.
For more information call (315) 261-3410 or (315) 393-7952
www.lisbonwc.org
Parent Information
Parent 1 Name
*
Parent 1 Phone
*
Parent 1 Email
*
This address will receive a confirmation email
Parent 2 Name
Parent 2 Phone
Parent 2 Email
Address
*
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Any custody concerns we should be aware of?
*
Please select one option.
Yes
No
If Yes, Please provide additional details.
Emergency Contact
In case of emergency, contact
*
Phone
*
Relationship to child(ren)
*
Child 1 Info
Name
*
Birthday
*
Grade
*
Please select one option.
Going into Kindergarten
Finished Kindergarten
Finished 1st
Finished 2nd
Finished 3rd
Finished 4th
Finished 5th
Finished 6th
Select Option
Going into Kindergarten
Finished Kindergarten
Finished 1st
Finished 2nd
Finished 3rd
Finished 4th
Finished 5th
Finished 6th
Tee Shirt Size
*
Please select one option.
Youth Extra Small
Youth Small
Youth Medium
Youth Large
Youth Extra Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Adult 2X Large
Adult 3X Large
Adult 4X Large
Select Option
Youth Extra Small
Youth Small
Youth Medium
Youth Large
Youth Extra Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Adult 2X Large
Adult 3X Large
Adult 4X Large
Allergies or other medical Conditions
Child 2 info
Name
Birthday
Grade
Please select one option.
Going into Kindergarten
Finished Kindergarten
Finished 1st
Finished 2nd
Finished 3rd
Finished 4th
Finished 5th
Finished 6th
Select Option
Going into Kindergarten
Finished Kindergarten
Finished 1st
Finished 2nd
Finished 3rd
Finished 4th
Finished 5th
Finished 6th
Tee Shirt Size
Please select one option.
Youth Extra Small
Youth Small
Youth Medium
Youth Large
Youth Extra Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Adult 2X Large
Adult 3X Large
Adult 4X Large
Select Option
Youth Extra Small
Youth Small
Youth Medium
Youth Large
Youth Extra Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Adult 2X Large
Adult 3X Large
Adult 4X Large
Allergies or other medical Conditions
Child 3 info
Name
Birthday
Grade
Please select one option.
Going into Kindergarten
Finished Kindergarten
Finished 1st
Finished 2nd
Finished 3rd
Finished 4th
Finished 5th
Finished 6th
Select Option
Going into Kindergarten
Finished Kindergarten
Finished 1st
Finished 2nd
Finished 3rd
Finished 4th
Finished 5th
Finished 6th
Tee Shirt Size
Please select one option.
Youth Extra Small
Youth Small
Youth Medium
Youth Large
Youth Extra Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Adult 2X Large
Adult 3X Large
Adult 4X Large
Select Option
Youth Extra Small
Youth Small
Youth Medium
Youth Large
Youth Extra Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Adult 2X Large
Adult 3X Large
Adult 4X Large
Allergies or other medical Conditions
Child 4 info
Name
Birthday
Grade
Please select one option.
Going into Kindergarten
Finished Kindergarten
Finished 1st
Finished 2nd
Finished 3rd
Finished 4th
Finished 5th
Finished 6th
Select Option
Going into Kindergarten
Finished Kindergarten
Finished 1st
Finished 2nd
Finished 3rd
Finished 4th
Finished 5th
Finished 6th
Tee Shirt Size
Please select one option.
Youth Extra Small
Youth Small
Youth Medium
Youth Large
Youth Extra Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Adult 2X Large
Adult 3X Large
Adult 4X Large
Select Option
Youth Extra Small
Youth Small
Youth Medium
Youth Large
Youth Extra Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Adult 2X Large
Adult 3X Large
Adult 4X Large
Allergies or other medical Conditions
Submit
Description
July 5-9, 2021, 6 pm to 8:00 pm
Lisbon Wesleyan Church
48 Church St, Lisbon, NY
(315) 315 1079
Vacation Bible School 2021
Awakened - Deepening Faith in God
For Ages: Going into kindergarten through finished grade 6
(There will not be a toddlers program this year. )
LIMITED SPACE AVAILABLE THIS YEAR
Registration will close June 28th 2021 or until all available space is filled.
Attendees will be required to adhere to current State Health Department guidelines during the event.
For more information call (315) 261-3410 or (315) 393-7952
www.lisbonwc.org
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