Vacation Bible School RegistrationGalactic Blast
July 26-20, 20109:00am-12noon
Name(s):
Parent/Guardian Name(s):
Age(s): Birthday(s): Grade(s) in the Fall:
Address:
Home Phone: Cell Phone: Email:
Shirt size(s):
Emergency Contacts:Name: phone:Name: phone:
List names of persons who may pick up your child from VBS each day: