Vacation Bible School 2009 Registration Form
July 19 - 23, 6:30 - 8:30pm

If you have more that one child to register,
please enter the information one child at a time.

Student's name:
Student's age:
Student's grade just completed:
Student's T-shirt size:

Parent name:
Parent address:
Parent city:
Parent state:
Parent zip code:
Parent phone number:
(optional) Parent email address:
(optional) Parent's T-shirt size (parent shirts will be $9.00):

Does student have allergies or medical conditions?
(Is there anything else that FBC should know?)


Do you attend another church?
If so, which church? (Church name and city)