Living Hope Bible Church Vacation Bible School 2017 Registration
Date: July 17 - 21, 2017,
Closing Ceremony: July 21, 2017, 7pm-8:15pm
Location: 205 Mountain Park Blvd. SW, Issaquah, WA 98027
Contact us at (425) 587-1232 or
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Child First Name
Child Last Name
Age (on July 17, 2017)
School Grade Just Completed in 2016-2017 School Year
PreK/Kindergarten (must be 5 years old)
Address (Street Number, Street, City, Zip Code)
Cell Phone (to reach you during VBS if necessary)
Parent(s)/Legal Guardian(s) Name(s)
Emergency Contact (Cell Number and Name)
If anyone is authorized to pick up your child other than yourself, please list them here, along with their relationship to the child.
Allergies or Other Medical Conditions (Please only list food that causes an allergic reaction to your child. We will do our best to provide healthy snacks that meet all allergenic needs. However, if your child has multiple food allergies, you may want to pack a daily personal snack.)
Name of Home Church, if any
Living Hope Bible Church
How often does the student attend church?
Weekly/Most of the time
Several times a year/Occasionally
How did you hear about our VBS? Check all that apply.
LHBC church announcement
Child attended VBS last year
Invited by a friend
Community mail flyer
4th of July Parade / Park Day
Fenders on Front Street flyer
If invited by a friend, who?
Would you like your student to be placed in the same group as their sibling or friend? (if ages are similar)
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