VBS 2024 @ LCBC Registration

Location: Longbranch Community Baptist Church (200 Longbranch Road, Midlothian, TX 76065)
Dates: July 14th - 18th, 2024
Time: 6:00 - 8:00 pm
Ages: Entering Kindergarten - 6th grade in Fall 2024

If registering more than one child, please click "Register Another Child" button at the bottom of this form AFTER completing the form for one child.

Parent/Guardian Contact Info

Parent/Guardian Name: *

Mailing Address

Primary Phone Number (preferred number to call in case of emergency): *

Secondary Phone Number:

Email:

Child Info

Child's Name *

Birthdate: *

Gender:

Grade Entering *

Medical Information

Please list any medical information you would like us to know about your child (please include any significant food allergies):

Emergency Contacts

Please list at least ONE emergency contact (name and phone number) that is different from what is listed above, in the event that you cannot be reached in an emergency

Dismissal Information

Who may pick up your child at the end of each VBS Day? (please include phone number if not already included on this form)

Name: *

Phone (if not already listed on this form)

Other Info

Does your child attend church? If so, where?

If your child is visiting our church for VBS, who is he/she a guest of?

May we have permission to photograph your child? *

Yes

May we have permission to use your child's photograph for the purpose of promotion (such as on our church website and/or Facebook page)? *

Yes