Vacation Bible School 2019 Registration

To register for VBS, please fill out the form below in its entirety.

Family Information

Family Name:
Email Address:
Phone Number:

(in case of emergency)

Status:
Congregation You Attend:

(if applicable)


Children's Information

Please include all of the children you are registering below, with their dates of birth and the LICOC Bible Class grade they will be going into this Fall. Visitors, you may enter the grade in school that your children are going into.
Name of Child Date of Birth Grade (in Sept, 2019)
Are there any medical issues we should be aware of?

Parents' Consent

Please Note: After clicking "Submit" you will be redirected to PayPal. You MUST complete payment on PayPal's site to finalize your registration. You will receive an email receipt from PayPal when you complete your registration.