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Lake Gibson Church VBS Registration
Date & Time: June 20-24, 6:30-8:00 p.m.
Church Address: 6868 N. Socrum Loop Rd., Lakeland FL 33809
VBS is open to children Pre-K (3's & 4's) through 5th grade.
PLEASE REGISTER EACH CHILD SEPARATELY!
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* Indicates required question
Child's LAST NAME
*
Your answer
Child's FIRST NAME
*
Your answer
Parent FULL NAME
*
IMPORTANT! This should be the name of the adult picking up the child. Our security measures will not permit the child to leave with anyone else.
Your answer
Do you have an EMAIL ADDRESS?
*
Yes
No
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