Vacation Bible School | Lighthouse Bible Church

August 4th – 8th
6:00 p.m. – 8:30 p.m.

age 4 (potty trained) through entering 6th grade

Lighthouse Bible Church
52260 Washington St
New Baltimore MI, 48047

Child's Name(Required)

Age(Required)

Grade(Required)

(upcoming school year)

Birth Date(Required)

Address(Required)

Street Address City ZIP Code

Phone(Required)

Email(Required)

Church Child Attends

Parent/Guardian Name(Required)

Emergency Contact / Phone(Required)

Child may be released to the following people:(Required)

I give permission to Lighthouse Bible Church to:

send text messages

post photos of my child at VBS events on website/social media

Parent/Guardian Signature(Required)