Register for VBS

Address

Primary Phone

Alternate Phone

Relationship to Student Father Mother Grandfather Grandmother Great-grandfather Great-grandmother Brother Sister Uncle Aunt Guardian Foster Parent Granduncle Grandaunt Other

Phone Number

Church Connections Does your family currently have a home church?

Student Information

Gender

Birth Date

Age Group

Food Allergies

Details

Medical Concerns

Details

Permission to use images and video Yes No PERMISSION TO USE IMAGES AND VIDEO I hereby grant permission for Lawton Evangelical Church to record sounds, images, or video of my child while attending the 2025 VBS program. I also give permission for Lawton Evangelical Church, at its sole discretion, to use these sounds, images, or videos in publications (including print, websites, and social media platforms) owned by Lawton Evangelical Church in relation to this VBS program.

Sensory Issues Does your child have any sensory issues? Please indicate

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