VBS 2025 Registration

LSCCC VBS 2024 Registration

July 6, 2025 - July 11, 2025

Please complete a registration form for each camper that will be attending.

Camper's Name

First Name

Last Name

Campers Age

Camper's Grade In The Fall

Guardian's Name

First Name

Last Name

Guardian's Phone Number

(###)

###

####

Any Food Allergies?

Please list the names of any of the Camper's siblings also attending.

Emergency Contact

First Name

Last Name

Emergency Contact Phone Number

(###)

###

####

Please list who is authorized to pick your camper up.

Please list anyone that is not authorized to pick your camper up. (if applicable)