VACATION BIBLE SCHOOL 2009 - MIDDLE SCHOOL - Printable Registration Form
July 13-17 Evening Session
One form for each child - Please print)

Name: _____________________________________________

Address: ______________________________________________

___________________________________________________

Postal Code: __________________________________________

Phone Number: ____________________________

Date of Birth: ______________________________

Home Email Address (optional): __________________________________________________________

Last Grade Completed in School: _________________________________________________________

Home Church: ______________________________________________________________________

Medical, Allergy, Or Other Information We Need to Know: ______________________________________

________________________________________________________________________________

________________________________________________________________________________

In the event of an emergency, whom do we call?

Name: _________________________________ Phone:_____________________________________

Name: _________________________________ Phone:_____________________________________

Click here to print form.
Please return completed form by July 13 to Shelby Mercer or Ashley Smith at Geary Baptist Church.