VBS Registration - "River of Life"
July 16-20 | 5:30-8pm
Trinity Lutheran Church - 120 Alexandria Hwy, Leesville, Louisiana
Email address *
Child Information
Please register separately for each child.
First and Last Name *
Your answer
Food Allergies? *
Your answer
Age *
Street Address *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Is this child baptized? *
Parent/Guardian Information
First and Last Name *
Your answer
Daytime Phone *
Your answer
Street Address (if different from above)
Your answer
Home Church (Name, City)
Your answer
Pastor's Name
Your answer
Emergency Contact Name and Relationship *
Your answer
Emergency Contact Phone Number *
Your answer
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms