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VBS 2010 Registration Form
For children 4 Years Old through 5th Grade
July 12 – 16, 9:00am – Noon


Use the form below to register your child for this year's Vacation Bible Schooll. You will need to complete and submit a new form for each child you wish to register (including guests).

CHILD'S NAME:

BOY GIRL

AGE: (as of July 12, 2010)

GRADE:
PRE-K - FULL
KINDERGARDEN - FULL
GRADE 1 -
GRADE 2 -
GRADE 3 -
GRADE 4 -
GRADE 5 -

FOOD ALLERGIES:

HOME CHURCH:

MOTHER'S PHONE (day):

FATHER'S PHONE (day):

ADDRESS:

CITY:

ZIP:

EMAIL:

FOR MORE INFORMATION ON CHILDREN'S MINISTRY
CONTACT/ Kathy Pachal at kathyp@crossroads1.org

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VBS 2010
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