VBS Registration | Lfbc

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Pre-Register Each Child Here
We can't wait to see you at Breaker Rock Beach!

2024 VBS REGISTRATION

Last name

First name

Birthday

Last Grade Completed in School

Does your child have any food allergies? *

No

Yes

Please list any food allergies:

Other Medical Conditions that we need to know:

Parent/Guardian Name

Parent/Guardian Name

Street Address

City

State

Postal / Zip code

Mailing Address (if different)

City

State

Postal / Zip code

Phone

Phone

Email Address

Email Address

Other Emergency Contact

Phone

Other Emergency Contact

Phone

Mailing Address
Lyerly First Baptist Church
P.O. Box 135
Lyerly Ga, 30730

Physical Address
Lyerly First Baptist Church
265 Tennessee Avenue
Lyerly Ga, 30730

Email Address
lyerlyfbcpastor@gmail.com

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