St. John’s United Church of Christ

2008 Vacation Bible School

Child #1 Full Name

Child #2 Full Name

Child #3 Full Name

Age as of July 14, 2008

Child #1

Child #2

Child #3

Last Grade Completed

Child #1

Child #2

Child #3

Parent/Guardian Name

Address

City

Zip Code

State

Home

Email

Home church (if applicable)

In case of emergency (when the parent/guardian cannot be reached) please contact:

Name

Phone

Relationship to child

Medical conditions or allergies? If yes, please specify.

Child #1

Child #2

Child #3

Person responsible for picking up child/children:

Name

Phone

Relationship to child

Any additional comments/suggestions:

St. John’s UCC Home Page

Children & Youth Homepage 

Children & Youth Ministries

Upcoming Family Activities

2008 Vacation Bible School

 

Child/Children’s Name

Parent/Guardian Information:

Would you be willing to volunteer during Vacation Bible School?

Would you be willing to send in snacks and drinks?