Vacation Bible School at Christ Lutheran Church Registration Form

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Vacation Bible School at Christ Lutheran Church Registration Form Powered By Docstoc
					Vacation Bible School at Christ Lutheran Church
                           (For children 3 years to entering 5th grade)



               July 19 (Sunday) thru July 23 (Thursday)
                          6:15 PM to 8:30 PM

                              Registration Form
                                        (One form per child)



Name_______________________________________ Age____                               __
Street Address___________________________                                         ___
City_____________________________                          State______ Zip    ________
Home phone (_____)________________ E-mail_____________________
Date of Birth_______________ Last grade Completed__                       ____________
Mother__________________________ Cell/work Phone                          ____________
Father__________________________ Cell/Work Phone                          ____________
Emergency contact________________________ Phone________________
Relationship to child
Allergies or other medical
conditions_____________________________________________________
Home church___________________________________________________
                           Mail Completed Registration Form To:
       Christ Lutheran Church---ATTN: VBS, 300 E. Monroe St., Austin, Texas, 78704
                                      512-442-5844