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.

 

 

 

 

 

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.)