Central Highlands Community United Methodist Church 2008 Vacation Bible School Registration
June 16th - June 20th
9:00 a.m. to 12:00 p.m. * = Fields are required
Families are invited to VBS on Friday at 11:00 for a celebration that includes:
Special Music program by VBS Kids!
Appearance by the Puppets for the Prince!
Picnic celebration for all VBS kids and their families at noon!
NOTE: On-Line registrations will be accepted through Friday, June 13th.
The registration fee must be dropped off at the church office by noon on Friday, June 13th.
*Child First Name:
*Child's Last Name:
*Child's Sex: *Child's Birth Date: (mm/dd/yyyy)
*Child's Age: *Grade Completed: (K through 5th)
*Child's Address:
*City: *State: *Zip:
*Home Telephone:
Cell Phone:
E-Mail Address:
*Parent or Legal Guardian First Name:
*Parent or Legal Guardian Last Name:
*Relationship to Child:
*Parent or Legal Guardian Address:
*Home Phone:
Parent or Legal Guardian First Name:
Parent or Legal Guardian Last Name:
Relationship to Child:
Parent or Legal Guardian Address:
City: State: Zip:
Home Phone:
Are there any health conditions we should be aware of:
Are there any food allergies?
ALLERGY ALERTS:
In case of emergency, contact:
Name:
Relation to Child:
Home Telephone:
Who will be picking up your child daily:
Relation to Child
Phone:
Are there any siblings or friends attending this function:
Church Affliliation: Member?
Would you like mailings for other events at our church?
Plase list any information or special needs you would like us to know about your child.
*Enter the following code into the box EXACTLY as it appears: 0511