Vacation
Bible School Registration 2008
| When:
VBS2008
Power Lab Location: Christ Evangelical Free Church in Saegertown. Located approximately 2 miles north of the light in Saegertown. Then left onto Hill Rd. 19682 Hill Rd Date: July 21-25 Time: 9:00am-11:45am Call: Kendra at 814-763-2934 Cost: Free!! |
Please mail the section
below to:
Christ Evangelical Free Church PO Box 619 Saegertown, PA 16433 Or You may highlight the form below, copy it onto your clipboard and paste into an email. Simply type in the information and send it to us. |
|
(Please keep the above section for
your
records)
(Cut)
----------------------------------------------------------------------------------------------------------------------(Please mail this section)
Child's Name: _________________________________________ VBS 2007
Registration
Form
Street address: __________________________________ City: _____________ State: ______ Zip:________ Home telephone: _______________________ other: _________________ Home e-mail _________________________________ Age: _____ Date of birth: ______________________ Last school grade completed: _______ In case of emergency, contact: Mother: ________________________ Phone: ______________________ Father: _____________________ Phone: ______________________ Other: _________________________________________________________ Allergies, diet or other medical conditions (Please print clearly on back) Special needs or behavioral issues we might need to know about your child. (Please print clearly on back) Home church: ___________________________________________________________________ A special friend your child might like to be with: __________________________________________ Parent(s) willing to volunteer: Name: _________________________________ phone: _________________________________ Name: _________________________________ phone: _________________________________ ----------------------------------------------------------------------------------------------------------------------------------- Crew number (for church use only): _______________________________________ |