2025 Vacation Bible School- Payment Registration

Guardian Information

Name

Address

Cell Phone

This address will receive a confirmation email

Child Information

All Child Names

Other Information

Payment Information

Payment

One free Child Registration for Volunteers.

Please contact office@loc-az.org if you need scholarship assistance.

Payment Comments

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

June 23-27, 2025

Please fill out this form and click submit.