FORMS

Shipwrecked VBS 2018 - Child Registration Form

Please complete ONE FORM FOR EACH CHILD registering. Open to children age 4 (by 8/1) to current 5th graders.
  • Shipwrecked VBS: Rescued by Jesus; July 23 - 27 (9:00 a.m. to 12 noon).
  • First Name
    Last Name
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  • MEDICAL & OTHER IMPORTANT INFORMATION
  • EMERGENCY CONTACT INFORMATION (at least one must be provided)
  • First Name
    Last Name
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  • First Name
    Last Name
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  • First Name
    Last Name
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  • SINCE OUR GROUPS ARE MULTI-AGED, CHILDREN WHO HAVE COMPLETED KINDERGARTEN AND OLDER WILL BE PLACED IN A SMALL GROUP WITH CHILDREN RANGING FROM KINDERGARTEN TO 5TH GRADE. WE ENCOURAGE OUR CHILDREN TO MAKE NEW FRIENDS WHILE ATTENDING VACATION BIBLE SCHOOL.
  • The cost for VBS will be $15.00 per child which includes a T-Shirt, crafts/materials, snacks, and a family music CD. REGISTRATION WILL NOT BE CONSIDERED COMPLETE UNTIL PAYMENT IS RECEIVED. Please make checks payable to LUMC and designate VBS in the memo line. (Checks may be turned in to the church office or directly to Debbie Andrews or Beth McOsker. Checks may also be mailed to the church: LUMC, 1033 Little Neck Road, Virginia Beach, Va. 23452) Scholarships are available by contacting Debbie at dandrews@lumcvb.org. NO REFUNDS WILL BE GIVEN.
  • A T-SHIRT WILL BE PROVIDED TO EACH CHILD.
  • PARENT SIGNATURE
  • First Name
    Last Name