VBS 2008 registration

VBS 2008
Monday, July 14 - Friday, July 18

For children rising kindergarten-5th grade

All fields required.
Family information
Your name
Street address
City
State
Zip
E-mail address

Child(ren)'s infomation
Child #1's name
Age at 7/1/07
Date of birth
Last grade completed
Allergies/medications

If you are registering multiple children, continue this section. If you are registering only one child, skip to Emergency contact information.
Child #2's name
Age at 7/1/07
Date of birth
Last grade completed
Allergies/medications
Child #3's name
Age at 7/1/07
Date of birth
Last grade completed
Allergies/medications
Child #4's name
Age at 7/1/07
Date of birth
Last grade completed
Allergies/medications

Emergency contact information
Emergency contact name
Phone number
Relation to child
Mother's name
Mother's phone
Father's name
Father's phone

Will your child be bringing guests who would like to be in his/her group? Please list their names.
You will receive a VBS music CD in the mail. A suggested donation of $5 is appreciated.

Volunteer information If you're available to help us put on VBS, please fill out this section. We appreciate you!

How will you volunteer? (select as many as you like!)	Bring Food Buy or cook food for our daily snack. Nursery Care for children birth to age 3. Crew Leader Lead children to activities from 9:00 a.m. - 12:15 p.m. Sunday Setup July 13: 10 a.m.-1 p.m. Decorations Special workdays TBA. Weekday Helper Extra hands during VBS week. Other, please specify:
On which days are you available?	Monday Tuesday Wednesday Thursday Friday All week
Will you require childcare for any children age 0-4? If so, please list their names and ages.