Mars and Beyond VBS Registration Form
Email address *
Student Name *
Your answer
Student Age *
Your answer
Siblings/Age *
Your answer
Parents' Name *
Your answer
Address *
Your answer
Phone Number *
Your answer
Emergency Contact info *
Your answer
Names of persons who may pick up your child from VBS
Your answer
Medical Concerns/Food Allergies *
Your answer
Photo Release Lucas Temple Church has my permission to use my child's photograph publicly in VBS materials. I understand the images may be used in print publications, online publications, presentations, websites, and social media. I understand that no royalty, fee, or other compensations shall become payable to me by reason of such use. *
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