2008 Beargrass VBS
Children's Registration Form
June 16-20
Please submit a separate form for each registrant (adults—use adult form).
Cost per person: $10. Please make checks payable to Beargrass, marked VBS.

Child's Name:

 

 

Parent/Guardian's Name

 

 

Street Address:

 

 

City:

State:

Zip:

 

 

Home Phone:

Cell Phone:

preferred e-mail:

Church you attend

VBS T-shirt size:

Children's sizes: XS S M L

T-shirt order deadline: May 18. Size & quantities limited after May 18.

 

Adult sizes:

S M L XL XXL

 

 

This section applies to children.

 

 

Birthdate (dd/mm/yy):

Grade completed

Mother's Name:

Mother's Phone nos.

Father's Name:

Father's Phone nos.

Emergency contact #1:

Phone contact no 1

Emergency contact #2:

Phone contact no 2

List allergies, medical conditions, special needs, custody information

 

 

Photo Release

Beargrass Christian Church has my permission to take my child(ren)'s photograph during VBS and use it in the church newsletter, brochures, slide presentations, or website.

Yes No

 
Please information to Beargrass VBS team.