Clone of Lighthouse Niagara VBS Registration Form 2025
  • Lighthouse Niagara

    VBS Registration Form 2026

    (Please complete One Per Child)
  • Aug 24-28, 9:30 am to 12 noon

    Ages 5 - 12
  • Date of Birth*
     - -
  • Parent/Guardian Information

  • Format: (000) 000-0000.
  • Emergency Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Dismissal

    Please pick up your child promptly at 12 noon each day of VBS.
  • Photos/Video

  • VBS photos/videos are taken for promotional purposes related to Lighthouse Niagara and Vacation Bible School. These pictures appear within the church only  (NOT on social media).

  • Do you allow your child to be included in these photos/videos?*
  • If no, do you allow your child to be included in a group photo only that will be part of the Friday craft your child will bring home?
  • Other Information

  • Please email me when there are any special children's programs*
  • NOTE: I waive any responsibility to all staff and volunteers for any injury that may occur to my child, or lost or damaged items that my child may bring with them. 

  • Today's Date*
     - -
  • NOTE: Original signature is required first day of attendance.

  • --- NOTE: A reminder email will be sent out approximately 1 week prior to start date. ---

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  • Should be Empty: