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Vacation Bible School Signup
Vacation Bible School is June 15-19, 2009.
VBS runs from 9am 'til noon. We welcome children age 3 to rising 4th grade. Class assignments are based on age/grade as of October 16th, 2009. Please register early to reserve your child's spot in a class. Once your child's class fills up, we'll add your name to our waiting list, and will place your child when there is a cancellation.

An asterisk (*) indicates a required field.

* Parent's Name:
* Street:
* City:
* State:
* Zip Code:
* Phone: (xxx-xxx-xxxx)
* Email: (username@domain.com)
Cell Phone: (xxx-xxx-xxxx)
* Emergency Contact:
* Emergency Contact Phone: (xxx-xxx-xxxx)
Emergency Contact Cell Phone: (xxx-xxx-xxxx)
I Would Like to Help With:
Name of Home Church (if any):
 
Child 1
Name:
Nickname:
* Allergies / Medical Conditions: (put N/A if none)
DOB: (mm/dd/yyyy)
Age: (as of June 15, 2009)
Grade as of October, 2009:
  
Child 2
Name:
Nickname:
* Allergies / Medical Conditions: (put N/A if none)
DOB: (mm/dd/yyyy)
Age: (as of June 15, 2009)
Grade as of October, 2009:
  
Child 3
Name:
Nickname:
* Allergies / Medical Conditions: (put N/A if none)
DOB: (mm/dd/yyyy)
Age: (as of June 15, 2009)
Grade as of October, 2009:
  
Child 4
Name:
Nickname:
* Allergies / Medical Conditions: (put N/A if none)
DOB: (mm/dd/yyyy)
Age: (as of June 15, 2009)
Grade as of October, 2009:
  
Child 5
Name:
Nickname:
* Allergies / Medical Conditions: (put N/A if none)
DOB: (mm/dd/yyyy)
Age: (as of June 15, 2009)
Grade as of October, 2009:
  
Child 6
Name:
Nickname:
* Allergies / Medical Conditions: (put N/A if none)
DOB: (mm/dd/yyyy)
Age: (as of June 15, 2009)
Grade as of October, 2009:

Learn more about our Children's Ministry: