VACATION BIBLE SCHOOL 2007 - Printable Registration Form
July 16-20 Morning Session (age 4 to completion of grade 5)
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:_____________________________________

Who will pick up your child at the end of each day?

Name: _________________________________ Phone:_____________________________________

Click here to print form.
Please return completed form by July 13 to Denise Ranni or Stan Howe at Geary Baptist Church.