VBS 2019 – Registration Form – Lonoke Baptist Church

Are you ready for a WILD SUMMER? Throw on your camera strap, buckle your seatbelt and come join us at Lonoke Baptist Church. VBS 2019 takes you on a wild adventure with elephants and egrets, polar bears and penguins, cockatoos and crocodiles. As you seek out exotic animals, you’ll also find snapshots of real-life encounters with Jesus in Scripture. Kids go from bewildered to believing as they get 'In The Wild' at this summer’s VBS (July 14-18). Watch the Lifeway preview below:

To get registered for VBS at Lonoke Baptist, simply fill out the online registration form below and click submit. Once you have submitted your registration form below, you will get a confirmation email.
Thank you for participating in this awesome event!

Child Information

First & Last Name

Date of Birth

mm/dd/yyyy

Completed Grade

Parent Information

First & Last Name

Phone

Address

Apt, suite, etc.

Country

City

State

Zip code

Medical Information

Allergies

Please list any allergies your child has

Medications

Please list all medications your child is on

Emergency Contact Information

First & Last Name

Phone

Authorized Pick-up Person(s)

Authorized Individuals

Please list individuals (separated by commas) who are allowed to pick up your child from VBS:

Permissions

Media

Yes

Lonoke Baptist has permission to photograph/video my child while attending VBS (for the intent of creating VBS highlight slideshows and photo albums only).

VBS 2019 – Registration Form

Register Here