July 13-17
6:00-8:30 PM
2008 VBS Registration
Child's Name:
Gender:
M
F
Address:
Zip Code:
Age:
Birthdate:
Phone #:
Alternate phone number:
What grade will child be in when school starts?
T-shirts will be available while supplies last.
Requested Size:
YS(6-8)
YM(10-12)
YL(14-16)
AS
AM
AL
Member of Saint Stephen?
Yes
No
If not, where do you regularly attend?
Parent's Names
Mother:
Father:
Siblings Attending VBS
*
Please note: you will need to complete a separate form for each child attending VBS.
Name:
Age
Grade in fall
Name:
Age
Grade in fall
Same grade friend your child would like to be grouped with:
Name:
Age:
Grade in fall:
Emergency Contact:
Phone #:
Health Concerns (Allergies, Diabetes, etc.):
Permission to publish child’s photo on church website or other church publication?
Yes
No