5 May 2008
Vacation Bible School Registration Form
5 May 2008
VACATION BIBLE SCHOOL
REGISTRATION FORM
Surfin? Through the Scriptures!
Registration begins May 15th;
Limited space is available, so please sign up quickly
(one form per child)
Name:_____________________________________________________
Street address:______________________________________________
City: State: ZIP:______________________________________________
Home telephone: ( )_________________________________________
Home e-mail address: __________________________Age: __________
Date of birth: _______________________________________________
Last school grade completed: __________________________________
In case of emergency, contact: _________________________________
Mother:____________________________________________________
Father:_____________________________________________________
Other:_____________________________________________________
Allergies or other medical conditions:_____________________________
Home church:_______________________________________________
Name of a special friend your child might like to be with: _____________
Payment of $12 (first child registered); $10 additional child registered.
______________________________________________________________________________________
Please bring this form and payment to the church office. Thank you! Please make checks out to Druid Hills United Methodist Church
