Vacation Bible School 2008 Registration

 

Child's Name:
Parent/Guardian's Name:
Street Address:
City:
State:
Zip Code:
Home Phone Number:
Work Phone Number:
Cell Phone Number:
Email Address:
Age Information: Birth Day (for preschoolers) or last grade completed in school
Medical Information: (that we need to know)
Emergency Contact Name:
Emergency Contact Phone:
Dismissal Information:
Who may pick up your child at the end of each VBS day?
Other Information:
Do you attend a Sunday School? If so where?
If you are visiting our church, who are you a guest of?
May we have permission to photograph your child?	--Please Select-- Yes No
May we have permission to use your child's photograph in church publications for the purpose of promotions?	--Please Select-- Yes No
T-shirt Size: