Vacation Bible School 2008

Child Sign-Up

Please fill out the below form. Once you have
verified your information is correct, simply click the
button. You will be returned to the main VBS 2008
web page.
Only one child per page is permitted.

Name of child:

Child's date of birth:

Current School Year:

Known Allergies:

Special Needs:

Parents:

Address:

City:

State:

Zip:

Email Address:

Home Phone Number:

Cell Phone Number:

Emergency contact(s) other than parents:

List any comments to the VBS administration:

Would you like to be added to our mailing list? No Yes