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Set Sail! 2019 Vacation Bible School Registration
Name of Child #1
*
Age of Child #1:
*
4-Entering Kindergarten
5
6
7
8
9
10
11
12
Name of Child #2
Age of Child #2
4-Entering Kindergarten
5
6
7
8
9
10
11
12
Name of Child #3
Age of Child #3
4-Entering Kindergarten
5
6
7
8
9
10
11
12
Name of Child #4
Age of Child #4
4-Entering Kindergarten
5
6
7
8
9
10
11
12
Name of Parent/Guardian:
*
Address:
*
City, State, Zip Code:
*
Phone Number:
*
Allergies and Medical Concerns for Children:
Emergency Contact & Relationship to Child(ren):
*
Emergency Number:
*
Who will pick child(ren) up?
*
Religious Affiliation:
Church Membership at:
How did you hear about this event?
*
I give my permission for Cross of Christ to use any pictures of my child(ren) for church publicity purposes only.
*
Yes
No
I would like to find out more about the programs and activities offered by Cross of Christ Lutheran Church
*
Yes
No
Thanks for registering! See you @ Cross of Christ on Monday, August 12 @ 1 pm for the beginning of our Set Sail! Vacation Bible School!
E-Mail Address (To Receive a Confirmation of Your Registration):
*
Submit
