2022 LC VBS (Participant)
When: May 31st - June 3rd 6:00 P.M - 8:45 PM
Who(Age): 3 years old - completed 5th grade
Cost: $10 per child (Snack included)

* Contact (Elementary Pastor Jennie Kim) @ 469-909-9751 or jenniekim9191@lcaustin.org 
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Student Name (First Last) *
Parent/Guardian Name (First Last) *
Email Address *
Primary Contact Number *
Birthday *
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Gender *
Last Grade Completed *
Are you a member of Lord's Church? *
Do you give permission to the Lord's Church of Austin to take and use your child's photographs in all forms and media in the church's publications? *
T-Shirt Size *
Does your child have any medical condition(s) that we should be aware of? (allergies, medications, etc.) If so please explain:
I understand that I will have to pay $10 upon registering. *
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