2026 LOPC VBS Camper Registration

2026 Lakeview OPC VBS Camper Registration
Camper Information
All fileds are required below. If nothing applies, please put "NONE" in the box. Thank you! Add all campers in this one registration, you can add more campers by selecting "Yes" when asked "Add another camper?"
Last Name*
First Name*
Middle Name*
MaleFemale
Birth Date*

MonthDayYear
Grade entering in the fall*
2T3T4TYouth XSYouth SYouth MYouth LYouth XLOther
Allergies/Dietary Restrictions or Medical Conditions*
Disability Needs or Accommodations:*
(examples: uses a wheelchair, would benefit from a 1:1 volunteer, has a learning disability, etc.)
Is there anything you would like us to know about your child?*
YesNo
Last Name*
First Name*
Middle Name*
MaleFemale
Birth Date*

MonthDayYear
Grade entering in the fall*
2T3T4TYouth XSYouth SYouth MYouth LYouth XLOther
Allergies/Dietary Restrictions or Medical Conditions*
Disability Needs or Accommodations:*
(examples: uses a wheelchair, would benefit from a 1:1volunteer, etc.)
Is there anything you would like us to know about your child?*
YesNo
Last Name*
First Name*
Middle Name*
MaleFemale
Birth Date*

MonthDayYear
Grade entering in the fall*
2T3T4TYouth XSYouth SYouth MYouth LYouth XLOther
Allergies/Dietary Restrictions or Medical Conditions*
Disability Needs or Accommodations:*
(examples: uses a wheelchair, would benefit from a 1:1volunteer, etc.)
Is there anything you would like us to know about your child?*
YesNo
Last Name*
First Name*
Middle Name*
MaleFemale
Birth Date*

MonthDayYear
Grade entering in the fall*
2T3T4TYouth XSYouth SYouth MYouth LYouth XLOther
Allergies/Dietary Restrictions or Medical Conditions*
Disability Needs or Accommodations:*
(examples: uses a wheelchair, would benefit from a 1:1volunteer, etc.)
Is there anything you would like us to know about your child?*
Parent or Legal Guardian Information
Parent/Legal Guardian*
Relation*
Work Phone*

Area CodePhone Number
Cell Phone

Area CodePhone Number
Parent /Legal Guardian 2
Relation 2
Work Phone 2

Area CodePhone Number
Cell Phone 2

Area CodePhone Number
Emergency Contact Name(if parent or guardian is not avaliable)*
Emergency Number*

Area CodePhone Number
Church Information
YesNo
If yes, name of church:
Email Confirmation
Parents Email *
Other Information
How did you hear about our VBS?
Camper Release
Camper Release (List anyone, including parents, to whom your camper can be released)*
Should be Empty:

2026 Lakeview OPC VBS Camper Registration

Camper Information

Parent or Legal Guardian Information

Church Information

Email Confirmation

Other Information

Camper Release