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Youth

VACATION BIBLE SCHOOL
June 15-17, 2011

Please register by May 31, 2011.
Contact Becky Rochford if you have any questions.

Child's Name:

Name child goes by:

Address:

City, State and Zip:

Age of Child:

Date of Birth:

Grade in School (Sept 2011):

T-shirt size of child: (S,M,L)

Special Needs/Allergies or Medical Conditions of Child:

Parent's Name

Parent Address (if different from above)

Home Phone:

Work Phone:

Cell Phone:

E-mail Address:

Best way to contact during VBS time:

Home Phone

Work Phone

Cell Phone

In the event of an emergency, I give my permission to seek medical treatment for my child.

Parents are asked to volunteer at least ONE day for each child in attendance during the course of VBS. Free nursery care is provided for your child too young to attend for the day you volunteer only. Please indicate which day(s) you will work and in which area you would like to volunteer. VOLUNTEERS MAKE THIS TIME SPECIAL FOR THE CHILDREN.

Please indicate which day(s) and in which areas you prefer to help:

All Days

Wednesday

Thursday

Friday

Preferences (mark 2 choices):

Small group leader

Games

Snacks

Crafts

Music

Mission activities