First Presbyterian Church
Vacation Bible School Registration
June 23–27, 2008
9:00 a.m. – 12:00 noon
Student Information
VBS is for children
3 years of age before LAST September 1, 2007
through those children entering fifth grade.
Student Name
Gender
Birth Date
mm/dd/yyyy
Grade Entering
Fall '08
M
F
Pre-4
K
1
2
3
4
5
Special Friend (must be same age/grade):
Teen Helper Information
Students entering grades 6-12 or college are welcome to serve as teen helpers.
Name
Gender
Birth Date
mm/dd/yyyy
Grade
Completed
M
F
5
6
7
8
9
10
11
12+
I would like to serve
Co-Teacher
Crafts
Snacks
Activities
Recreation
Music
General
Days I'm avaliable
All Week
Mon 6/25
Tue 6/26
Wed 6/27
Thu 6/28
Fri 6/29
Parent’s Information
Mother
First Name:
Middle Name:
Last Name:
Work Phone:
Cell Phone:
Father
First Name:
Middle Name:
Last Name:
Work Phone:
Cell Phone:
Family Information
Address:
City:
State:
Zip Code:
Home Phone:
E-mail Address:
Church your family presently attends:
Emergency and Medical Information
Emergency Contact Name:
Phone:
Known Allergies or Medical Condition:
Physician’s Name:
Phone:
In case of emergency, I authorize First Presbyterian Church to seek emergency treatment for my child and to arrange transportation to the nearest medical facility.
To indicate that you do so authorize First Presbyterian Church, type "I authorize" in the box
VBS T-Shirt Order - $6 Each
Please indicate the number of shirts ordered in each size:
Child Sizes
Adult Sizes
2-4 XS
6-8 S
10-12 M
14-16 L
S
XL
M
XXL
L
Number of shirts
0
x $6 each = $
0
Payment must accompany order. Please make check payable to First Presbyterian Church. Write “VBS T-shirts” on check, print this form and turn it in with payment.
Deadline for T-shirt orders is June 13.
Help with snacks!
We have over 125 hungry volunteers sharing Vacation Bible School with your children, and we need some help supplying snacks for them all! Please check the type of snack and day you are able to provide it.
Homemade Cookies
Mon, June 23
Finger Sandwiches
Tue, June 24
Fruit Tray
Wed, June 25
Veggies & Dip
Thu, June 26
Cheese & Crackers
Fri, June 27
Muffins/Coffee Cake
Reminders will be mailed out. Thank you for your support of our volunteers!
