Registration

Please fill out 1 form per child.

If you have any additional questions please contact LWC:

Questions@LWCweb.org

303.366.0181

Parents must be present on first day to sign waiver.

VBS Registration Form

Child's Name

First Name

Last Name

Child's Age

Child's Grade

Child's grade they just finished

Child's Sex

Child's Allergies

Type "none" if no allergies

Parent 1 Name

First Name

Last Name

Parent 1 Email

Parent 1 Phone Number

(###)

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Parent 2 Name

First Name

Last Name

Parent 2 Email

Parent 2 Phone Number

(###)

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Emergency Contact Name

If parents cannot be reached

First Name

Last Name

Emergency Contact Relationship

If parents cannot be reached

Emergency Contact Phone Number

If parents cannot be reached

(###)

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How did you hear about VBS at Living Water Church?

Additional Information