LUMC VBS 2024

Parent Information

Parent's Name

Parent's Email

This address will receive a confirmation email

Parent's Phone

Address

Camper 1 Information

Child's Name

Date of Birth

Allergies/Concerns

Camper 2 Information

Child's Name

Date of Birth

Allergies/Concerns

Camper 3 Information

Child's Name

Date of Birth

Allergies/Concerns

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Parents can use this form to register and pay online for LUMC's 2024 VBS: "Camp Fireflight". VBS will be Monday July 22 through Friday July 26, 2024, from 9am to 12pm, for ages 3yo (potty trained) to 12yo.

The cost is $20 for one child. For multiple siblings in a family, the total cost is capped at $40.

Don't forget to hit "SUBMIT" at the bottom of the page when finishing; you'll get a confirm screen.

LUMC VBS 2024

Description

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