Registration
First Landmark Missionary Baptist Church Vacation Bible School
Child's Name
*
If you are registering more than one child in the same household, list all names here.
Grade last completed (if pre-K, age)
If more than one child, please mark grades in the above order.
Date of Birth
If more than one child, mark dates in the above order.
Your name and relationship to child(ren).
Email
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Need Transportation
Yes
No
Food Allergies
Yes
No
If yes, please list any food allergies for each child
Can you bring neighbor's kids?
Yes
No
Maybe
How did you hear about us?
*
Facebook
Instagram
Door Flyer
Word of Mouth
Came Last Year
Other
Questions or special needs
Submit
Should be Empty: