Bethel Springs Baptist Church
“God Keeps His Promises”
Vacation Bible School Registration Form
July 7 ~ 11, 2008 Time: 9:00 ~ Noon
Return this form to Dominic or Mary Hudson
by Friday, June 6, 2008
~ No Charge or Fee ~
|
Enrollment is for children who will be entering Kindergarten through 6th grade. T-Shirts can be ordered for $7 youth sizes $9 adult sizes |
Child’s Name_________________________________________________________________
M/F_____________ Age_____________ Birth Date_________________
Grade____________
Allergies/Medical Information/Other _________________________________________________________
_________________________________________________________
Child’s name__________________________________________________________
M/F_____________ Age_____________ Birth date____________________
Grade ____________
Allergies/Medical Information/Other _________________________________________________________
_________________________________________________________________________________
Parents’ names___________________________________________________________________
Address_______________________________________City__________________Zip__________
Home phone__________________ cell_________________
Church___________________________________________
Emergency contact ________________________________________________________________________________
Home phone________________________Work phone_______________________ Cell_________________________
______ _I give permission for photos of my child to be used in publicity of future VBS, print media, website and/or video presentations.
_______I do no give permission for my child/children to take pictures.
_________________________________________________________________________________
Parents Signature Today’s Date
Bethel Springs Baptist Church (334) 627-3233
41 New Bethel Springs RD (334) 627-3667
Safford, AL 36773 www.bethelspringschurch.com