650 South Federal Highway | Dania Beach, Florida 33004 | Phone: 954.923.8660 | Fax: 954.927.5203 | info@lighthousecc.org

VACATION BIBLE SCHOOL IS HERE !!!

DEADLINE FOR REGISTRATION IS JULY 15TH

AGES 4 to 12 years

 

To register for Vacation Bible School please complete the form below. Please indicate Tshirt Size for each child registered.

 

VBS Music CD is available for purchase to take home for $6.99 each.  If you would like to have a CD of the VBS music you will need to prepay by  July 8th so we may place the order.  You can pay by cash, check payable to Lighthouse Community Church or pay online by clicking ‘Give Online’ but you must enter VBS CD in the note section to have money appropriately applied.

 

Parent/Guardian Name (required)

Phone Number (required)

Address (Street, City, Zip) (required)

Email (required)

Child 1 Name (required)

Child 1 Age (required)

Child 1 Grade Completed (required)

Child 1 Special Notes: (allergies, etc)

Child 1 Tshirt Size (required - select 1 size - Child and Adult sizes available)

Child Shirt Sizes
XS (2-4)S (6-8)M (10-12)L (14-16)
Adult Shirt Sizes
SMLXL

Child 2 Name

Child 2 Age

Child 2 Grade Completed (required)

Child 2 Special Notes: (allergies, etc)

Child 2 Tshirt Size (select 1 size - Child and Adult sizes available)

Child Shirt Sizes
XS (2-4)S (6-8)M (10-12)L (14-16)
Adult Shirt Sizes
SMLXL

Child 3 Name

Child 3 Age

Child 3 Grade Completed (required)

Child 3 Special Notes: (allergies, etc)

Child 3 Tshirt Size (select 1 size - Child and Adult sizes available)

Child Shirt Sizes
XS (2-4)S (6-8)M (10-12)L (14-16)
Adult Shirt Sizes
SMLXL

Child 4 Name

Child 4 Age

Child 4 Grade Completed (required)

Child 4 Special Notes: (allergies, etc)

Child 4 Tshirt Size (select 1 size - Child and Adult sizes available)

Child Shirt Sizes
XS (2-4)S (6-8)M (10-12)L (14-16)
Adult Shirt Sizes
SMLXL

Special Needs (food allergies, etc.)