LifeHouse Church Vacation Bible School- Youth Form

Welcome to LifeHouse Church very first Vacation Bible School! We are thrilled that you will be joining us for this monumental occasion. Our prayer is that your child or children will experience a life-changing encounter that creates a lasting impact.

Parent's Name

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

Child's Name

*

Child's Age:

*

Which Class will your child attend

*

Please select one option.

Little Lyfe- Age: 3- thru 2nd Grade Kidz Lyfe: 3rd thru 5th Grade Middle School: Grades 6th, 7th, and 8th High School: Grades, 9th, 10th, 11th and 12th

If you have more than one child, please list their age and name below.

*

Please list Emergency Contact Name and Number:

*

Important: Please identify any allergies to help us ensure the well-being of your child or children.

*

Youth Shirt Sizes

Please select all that apply.

X-Small Small Medium Large X-Large XX-Large

Cost Per T-Shirt

Please select one option.

10.00

Payment

1 ($10) 2 ($20) 3 ($30) 4 ($40) 5 ($50)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Welcome to LifeHouse Church very first Vacation Bible School! We are thrilled that you will be joining us for this monumental occasion. Our prayer is that your child or children will experience a life-changing encounter that creates a lasting impact.

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