Lakeview VBS Registration
August 21-24, 6:00pm-8:00pm
4080 N. Center St.
Hickory, NC 28601

Ages 3 - 5th Grade

Wednesday, August 24th is Family Night! Come join us for THE DROP!
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Name of Child 1 *
Age of Child 1 & School Grade Completed *
Name of Child 2
Age of Child 2 & School Grade Completed
Name of Child 3
Age of Child 3 & School Grade Completed
Name of Child 4
Age of Child 4 & School Grade Completed
Parent/Guardian Name *
Parent/Guardian Phone Number *
Parent/Guardian Address *
Parent/Guardian Email Address *
Please note any food allergies below:
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