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2026 VBS Student Registration 2026
"Illumination Station" VBS will be June 22 - June 26, 2026, from 9:00 am to noon. If you would like your child to attend VBS, please answer the following questions. Please note, you will need to answer these questions for each child attending VBS. 
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Email *
Child's full name *
Child's birthdate  *
MM
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DD
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Age *
Grade level just completed. (grade they are currently in as of April 1, 2026) *
Parent/Guardian name: *
Phone number:  *
Street address:  *
City and zip code *
Emergency Contact *
Church Affiliation *
How did you hear about VBS?
Does your child have allergies or dietary restrictions?  *
If yes, what are the allergies or dietary restrictions? 
Does your child require an Epi-Pen? 
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Any "special requests" (teacher, fellow classmates?) NO MORE THAN ONE Classmate request. We cannot guarantee requests. Students must be registered by MAY 16 for special requests to be considered.
I give my full consent for my child to be in photos/videos and used on the CLC website or other church materials. *
Is there anything you would like us to know about your child? 
Please use the QR code to pay for your child under VBS. Registration fee is $30.00/child. If paying in the church office, please note they can only accept cash or checks.
I have paid my $30.00/student registration fee. *
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