Vacation Bible School 2026 at Lakeland Pres

Child's Name

Child's Birth Date

Grade just completed

Parent or Guardian Name

Parent Phone

Address

This address will receive a confirmation email

Emergency Contact Name

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?

Description

Please fill out this form and click submit.