Vacation Bible School @ Lynbrook Baptist Church / / / / July 14th - 18th, 2025 Time: 6:30-8:45pm

July 14-18, 2025 | Online registration is open. Please fill out and submit the attached form. You will then receive an email confirmation.

Child's Information

Child's Name

*

Child's Birth Date (MM/DD/YYYY)

*

Gender

*

Please select one option.

Male Female

Grade Entering (As Of Sept 2025)

*

Please select one option.

1st 2nd 3rd 4th 5th 6th

Allergies or other medical conditions (Enter NO if none)

*

Parent's Information

Parent's Name(s)

*

Address

*

Home Phone

*

Cell Phone

*

Email

*

This address will receive a confirmation email

Emergency Contact

Emergency Contact Name

*

Phone

*

Child's T-Shirt Size

*

Please select one option.

S (6-8) M (10-12) L (14-16) XL

How did you hear about VBS?

*

Please Note: By enrolling your child in VBS you agree to allow LBC to use photos taken of your child during VBS activities as part of crafts, slideshows and advertisement of our children’s programs on our LBC website.

Description

July 14-18, 2025

Online registration is open. Please fill out and submit the attached form. You will then receive an email confirmation.

Please Fix the Following

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