Lawson United Christian and Presbyterian Church
Love Spoken Here!
Disciples





of Christ
Presbyterian





Church (USA)
Truth Trek & Camp Ten
United Christian & Presbyterian Church
Vacation Bible School Online Registration Form
Child's Name
Parents' Name(s)
Home Address
Home Phone
 Cell Phone
Alt Phone
 EMail
Birth Date
 Last Grade Completed
Allergies, medical conditions, or other information
staff needs to be aware of:
In the event of an emergency, contact:
Name
 Phone
Name
 Phone
Who may receive this child at the end of each VBS day?