VBS Registration Form

VACATION BIBLE SCHOOL July 16 • 4-7 pm - July 17-20 • 9 am-12 pm

VBS Registration Form

3 yr olds through 6th grade

Kid’s Info Name

Birthdate

M/F

Grade Entering (Fall 2017)

Special Needs/Allergies/Other Concerns ________________________________ __________________________________________________________________

Sunday evening is a Family Event from 4:00-7:00. How many from your family (adults and children) will be attending Sunday evening? _______

Family Info Parent/Guardian Address City

___________________________________________________

__________________________________________________________

______________________________ State _________ Zip __________

Primary Phone

_____________________ home or cell——Text? Y or N

Secondary Phone

____________________ home or cell——Text? Y or N

Email Address __________________________________________ Other Emergency Contact ______________________________________________ Children will be: (please circle one) walking home

picked up

bussed from Macon

Please return registration forms to the church by mail or in person by Sunday, July 16. First Christian Church | 125 E South St. | Moweaqua, IL 62550