Vacation Bible School 2008 Registration
HOUSEHOLD INFORMATION
Last Name:
Father and Mother's Names:
Address:
City: State: Zip:
Phone: Emergency Phone:
E-mail Address:
Church:
How did you find out about our VBS?
CHILDREN’S INFORMATION
Please enter up to 5 children in the same household.
1. Name: Date of Birth: Age:
Grade (Fall 2008): Please use one of the following: T2 (age 2), T3 (age 3), PreK, K (Kindergarten), 1st, 2nd, 3rd, 4th, 5th, 6th
Allergies:
Medications: Any Special Requirements?
Person (other than a parent in the same household, as listed above) who will pick up your child:
___________________________________________________________________________________________________________
2. Name: Date of Birth: Age:
3. Name: Date of Birth: Age:
Grade (Fall 2008): Please use one of the following: T2 (age 2), T3 (age 3), PreK, K (Kindgergarten), 1st, 2nd, 3rd, 4th, 5th, 6th
4. Name: Date of Birth: Age:
__________________________________________________________________________________________________________
5. Name: Date of Birth: Age:
Please check to make sure that all information is correct and press the submit button below.
Faith Evangelical Presbyterian Church