Vacation Bible School Registration | Summit Life Church Lee's Summit

VBS Registration

Please complete the registration form below for your family. The cost is $25 per child with a T-shirt or $10 per child without a T-shirt. Registration will be confirmed once payment has been received.

Note: When submitting payment, please select Fund: VBS Registration

Submit Payment

(1) Child's Name, Age, Gender, T-Shirt Size (Required)

Enter as: John Smith, 8, Male, Small

(2) Child's Name, Age, Gender, T-Shirt Size

Enter as: John Smith, 8, Male, Small

(3) Child's Name, Age, Gender, T-Shirt Size

Enter as: John Smith, 8, Male, Small

Additional Children (Name, Age, Gender, T-Shirt Size)

Enter as: John Smith, 8, Male, Small

Parent/Guardian Name (Required)

Your Phone Number (Required)

Email Address (Required)

Your Address (Required)

Emergency Contact

In case of emergency, who do we contact?

Name (Required)

Relationship to Child (Required)

Phone Number (Required)

Allergies or Other Medical Conditions

Please list child's name and allergies/medical condition

Medications

Please list child's name and medication

Other Helpful notes

I acknowledge that I am responsible for providing transportation to and from Vacation Bible School.

I understand that T-shirt(s) are guaranteed once payment is received.

Solve 9 + 9 = ?

Summit Life Church

17104 Rte 291 Pleasant Hill, MO, 64083

816-537-6488 info@thesummitlife.church

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