FPCLW VBS Registration

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VBS is for children who will be 4 before September 1, 2026 up through children who have just completed 5th grade.
Registration fees are as follows:

- $10 for one child - $20 for two children - $30 total for three or more children. Pay digitally below OR on the first day of VBS at the check-in table in the Family Life Center lobby. Please bring cash or check at that time. If you have any questions, please text (863) 224-6224. We can’t wait to see you! – FPCLW VBS Team
Registration Type
How many children are you registering?
Child Information
Child 1 Information
Child Name

First NameLast Name
Age
Birthday

MonthDayYear
Grade (just completed):
Please select your child's T-shirt size:
Does your child have any allergies?
Please list your child's allergies below:
Does your child have any medical concerns or special needs?
Please list your child's medical concerns and or special needs below:
Child 2 Information
Name

First NameLast Name
Age
Birthday

MonthDayYear
Grade (just completed):
Please select your child's T-shirt size:
Does your child have any allergies?
Please list your child's allergies below:
Does your child have any medical concerns or special needs?
Please list your child's medical concerns and or special needs below:
Child 3 Information
Name

First NameLast Name
Age
Birthday

MonthDayYear
Grade (just completed):
Please select your child's T-shirt size:
Does your child have any allergies?
Please list your child's allergies below:
Does your child have any medical concerns or special needs?
Please list your child's medical concerns and or special needs below:
Child 4 Information
Name

First NameLast Name
Age
Birthday

MonthDayYear
Grade (just completed):
Please select your child's T-shirt size:
Does your child have any allergies?
Please list your child's allergies below:
Does your child have any medical concerns or special needs?
Please list your child's medical concerns and or special needs below:
Child 5 Information
Name

First NameLast Name
Age
Birthday

MonthDayYear
Grade (just completed):
Please select your child's T-shirt size:
Does your child have any allergies?
Please list your child's allergies below:
Does your child have any medical concerns or special needs?
Please list your child's medical concerns and or special needs below:
Parent/Guardian & Emergency Contact Information
Parent/Guardian
Approved Pick-Up List (Only these individuals may pick up your child):
Photography Waiver
I give permission for my child(ren) to be in photos that are used in church communications.
Payment

One Child

$10.00

Two Children

$20.00

Three or more children (Family)

$30.00

Pay In Person

$ Free

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Cash App Pay

Should be Empty:

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Registration fees are as follows:

Child Information

Child 1 Information

Child 2 Information

Child 3 Information

Child 4 Information

Child 5 Information

Parent/Guardian & Emergency Contact Information

Photography Waiver

Payment

Payment Methods