Motto

 

 

 

 

 

 

 

 

 

 

 

Big Apple

 

 

 

 

 

 

 

 

Taxi

 

 

 

 

 

 

 

Statue of Liberty


VBS11 Logo 

Big Apple Adventure
Where Faith and Life Connect
June 12th - 15th

VBS 2011 Enrollment Card

 

Child's Name:*

Parent/Guardian:*

Address:*

City:*             State:*     ZipCode:*
          

Phone Numbers:

Home:*
Work:

Cell:

Email:

Age Information:

Birth date (for preschoolers)
or
Last grade completed in school:

Medical Information:
Medical or other information we need to know
(Please include any food allergies.)

Emergency Contact:
Name:
*
Phone:
*

Name: 

Phone: 

Dismissal Information:
Who may pick up your child at the end of each VBS day?

Other Information:
Do you attend Sunday School? If so where?

May we have permission to photograph your child?  Yes   No

May we have permission to use your child's photograph in church publications for the purpose of promotion?  Yes   No

* - Required Information