LWC VBS 2022 Registration (Family)

July 11-15, 2022, 6 pm to 8:00 pm | Lisbon Wesleyan Church
48 Church St, Lisbon, NY
(315) 315 1079

Vacation Bible School 2022

Monumental - Celebrating God’s Greatness

For Ages: 4 (with an Adult) through finished grade 6

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

Home Church

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

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

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

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

Allergies or other medical Conditions

Description

July 11-15, 2022, 6 pm to 8:00 pm

Lisbon Wesleyan Church
48 Church St, Lisbon, NY
(315) 315 1079

Vacation Bible School 2022

Monumental - Celebrating God’s Greatness

For Ages: 4 (with an Adult) through finished grade 6

For more information call (315) 261-3410 or (315) 393-7952

www.lisbonwc.org

LWC VBS 2022 Registration (Family)

Description

Please Fix the Following