Crossview Baptist Church
Monday, September 06, 2010
To Make Christ Known

VBS Registration


  
 
 "Heroes 4 God"
 
2010 VBS Registration
 
                  
VBS is July 12th - 16th
6:30 p.m. - 8:30 p.m.
     
for kids ages 4 years - 6th grade
 
Please fill out form completely
 
and click 'send form' button.
 

(1) Child’s Name:

(2) Parents’ Name:

(3) Address: City: State:

(4) Home Phone: (5) Work Phone:

(6) Email: (7) Birthday:

(8) Grade Completed:

(9) Do you go to Sunday School? Where?

(10) Please list any allergies or medical conditions:

 

(11) Please list persons we can call in an emergency.
(12) Please list persons who are permitted to pick up this child: