(updated 5/17/07 )

Children > Vacation Bible School > Register

Vacation Bible School Registration

Children who will turn 4 years old by August 1, 2007 through children who are entering 6th grade. Volunteers please go to the volunteer registration page.

June 18 through June 21, (Monday - Thursday) from 9:00am until 12:15pm.

Child's Name:
 M F
  DOB - -
Age
T-shirt size
Grade student will enter Fall of 2007
  School
Does student attend church? Yes No
  Where?
  Member? Yes No
Is there a special friend your child
would like to be in school with?
Allergies/Medical Information
Other Information
     
 
Parent's Name:
  
  Email:
  Phone:
  Address:
  City:
  Zip :
     
     
Emergency Contact:
  
Relationship to Student:
Phone:
Emergency Contact:
  
Relationship to Student:
Phone:
Question or Comment:
     
     
I grant permission for my child to participate in VBS and release the church of all liability.
Electronic Signature (type your name the way you sign)
Date - -
   

 

  
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