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2010 VBS Registration Form





Please complete if you are enrolling your child (ages 2 yrs - 15 yrs) in our Vacation Bible School to held July 26 - 30 , 2010.
Please fill out a separate form for each child you are enrolling. Registration fee is $10 per child.

Fill in the following form and press submit.
Child's Name  *
Parents Name  *
Email ID  *
Address1 Address2
City State
ZIP Code
Home Phone Cell Phone
Child's Birthdate
Age of Preschooler
(as of June 22, 2009):
Medical or other information
we need to know. Please include any allergies.
In the event of an emergency,
whom do we call?. Please give two contact
names and telephone numbers where
they may be reached.
Who may pick up this child at
the end of VBS each day? Please give names
of anyone who you think will need
to pick up your child.
Do you want to contribute food or Gifts? Monday     Tuesday     Wednesday     Thursday     Friday    
Candy, Cookie
Fruit Juice, Soda
Pizza
Gifts
Cash Contributions
      









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Published on: 2010-03-06 (5054 reads)

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