Lamont Wesleyan Church VBS Registration
VBS will take place the evenings of July 11-14 from 6:30 PM to 8:00 PM. It will be hosted at the Madison City Park instead of LWC. If your child would like to eat supper with us, they will need to arrive at 6:00 PM instead of 6:30 PM. If they will eat before they arrive, they can arrive at 6:30 PM. We are so excited to learn about the Armor of God with your child! If you have any questions, feel free to contact Jerrie Schreiner.
Email *
Person's name filling out this form *
Student Name (One Student PER FORM) *
Gender *
Birth Date (00-00-0000) *
Grade they will BEGIN in August *
Mailing Address (Address, City, State, ZIP) *
Primary Contact Phone Number (000-000-0000) *
Alternate Phone Number (000-000-0000)
Emergency Contact Name *
Emergency Contact Relationship to Student *
Emergency Contact Phone Number (000-000-0000) *
Food Allergies?? IF YES, EXPLAIN.
Medical Concerns?? IF YES, EXPLAIN.
Will your child eat supper with us? This will help with headcount, if something changes or comes up we can accommodate. *
Shirt Size *
Shirt Color *
Gridley Participants ONLY - WILL YOUR CHILD NEED BUS TRANSPORTATION? *
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