2023 VBS Stellar Registration Form
Please fill out ONE registration form per family.
The deadline to register is June 11, 2023!
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Names of children *
School grades of children - include grade for all children you're registering
(ex: Kaitlyn - 3rd grade, Jenny - 5th grade)
Names of parent/guardian *
Parent/guardian email address *
Parent/guardian phone number *
T-shirt sizes (Kids' S, M, L, XL) - include t-shirt size for all children you're registering 
(ex: Kaitlyn - M, Jenny - M)
Home church *
If Lakeview is not your home church, how did you hear about Lakeview VBS?
Home address *
Any allergies? (please be specific)
Other health concerns?
I certify that I am the adult parent or guardian of child(ren) above, and I consent to his/her participation in activities at Lakeview Church in Northbrook. I understand and acknowledge that I am fully aware of and assume risk. I understand that Lakeview Church shall have no responsibility to pay for medical treatment and related costs if said minor child is injured. Knowing the minimal risks, I agree, personally and on behalf of the minor child named above, to assume all the risks and responsibilities surrounding my minor child’s participation in Lakeview Church’s VBS program. To the fullest extent allowed by law, I hold harmless and agree to indemnify Lakeview Church, its officers, directors, faculty, staff, volunteers, from and against any present or future claim, cause of action, loss or liability for injury to person or property, which said minor child may suffer or related to said minor child’s participation in Lakeview Church children’s programming.
Payment will be $20/child, while the max tuition per family is $40.
You can pay via Zelle to lakeviewccfinance@gmail.com OR bring a cash or check in an envelope to Pastor Evelyn La. Either way, please include a memo with "VBS" and the names of the children you're paying for ASAP.
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