VBS Registration – Lighthouse Church

Pets Unleashed VBS

Sept 29th – 30th from 6pm to 8pm
For Ages: 5y/o thru 6th Grade
Location: Lighthouse Church (3405 Baranof Ave.)

Complete the form below to register your child for free.
*If you are registering more than one child, please refresh the page and submit a new form per child.

Child Details:

Child's Name

Child's Age

Birthdate

Grade

Allergies or Other Medical Conditions

Emergency Contact Name

Emergency Phone

Relationship To Child

Parent/Guardian Details:

Parent/Guardian

Address

City

State

Zipcode

Home Phone

Parent/Guardian Cell Phone

Others Allowed

Home Church

Call Us

+1 (907) 225-2893

Visit Us

3405 Baranof Avenue

Join Online

via LIVEstream

Give Online

Share your experience with #MyLighthouse

Lighthouse Church of God is a member of
Church of God International, Cleveland, TN.

Lighthouse Church of God is a member of Church of God International, Cleveland, TN.

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