Summer 2008 Vacation Bible School
Online Registration Form

For Children Entering Grades K through 5th grade Only

This year, VBS will be June 9th through 13th, from 9am to 11:45am each day.

Child Information
Child Last Name	•
Child First Name	•
Child Date of Birth	•
What grade will child begin in Fall 2008? (To be eligible for VBS 2008, your child must be in Kindergarten or higher beginning in Fall 2008. The preschool class is open only for the children of our VBS workers.)	•
Please list any known allergies:	•
T-Shirt Size	•	S(6-8) M(10-12) L(14-16)
Mailing Address
Street Address Line 1	•
Street Address Line 2	•
City	•
State	•
ZIP Code	•
Parent/Guardian and Contact Info
Parent Last Name	•
Parent First Name	•
Relationship to Child	•
Primary Number: Where parent/guardian can be reached from 9:00AM-12:15pm.
Primary Phone Number	•
Cell Number	•
Home Church	•
E-Mail Address	•
What is the best way to reach you?	•	Phone Cell Phone E-Mail