VBS 2010 Registration Form

ABOUT US

Open Hearts
  Prayer Chain Project
  Under the Influence
  Contemporary Women's Bible Study
  Who Is My Neighbor?

Open Minds
  Message from the Pastor
- - Church Office Hours
  UM Women Events Message
  UMYouth Group
  Sunday School
- - VBS 2010 Program
- - Register for VBS 2010
  Bernard Scholarship

Open Doors
Come Worship With Us

Click here for Printable version

VBS Registration Form

2010 VBS - Week of July 12th, 2010 from 9 am to 11:30 am
Click here to view JPG form and print.
Or, fill out the email form below and a copy will be sent to the VBS coordinators

#1 Child's Name - Child's Age - Child's Gender
#2 Child's Name - Child's Age - Child's Gender
#3 Child's Name - Child's Age - Child's Gender
#4 Child's Name - Child's Age - Child's Gender
#5 Child's Name - Child's Age - Child's Gender
#6 Child's Name - Child's Age - Child's Gender

Parents Name - Phone -
Street Address - City, State and Zip Code -
Cell Phone - Email Address -

My child(ren) need(s) transportation - Yes No
I am interested in volunteering! - Yes (please fill out separate form)

Is there anything we should know about your child(ren)?

**I would like to purchase a T-Shirt for $7. (please include a check with registration)
**Indicate quantity in each size range: Child size XS-- Child size Small--
**Child size Medium-- Child size Large--
**Child Size XL-- Adult Size--

Parent's Signature: Date:

PLEASE PRINT THIS FORM BEFORE SUBMITTING.

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