VBS Registration - Northside Assembly
If you are registering multiple children, please submit a separate form for each child.

June 17-21, 2024
411 W Robson St. Lakeland, FL 33805
Contact us at (864) 686-1977 or at northsidelakeland@gmail.com
Sign in to Google to save your progress. Learn more
Email *
Camper's Name (first & last) *
Parent/Guardian's Name *
Address *
Email *
Best Phone Number(s) *
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's Age *
Last School Year Completed *
Home Church (if any) *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms