VBS

Saddle Ridge Ranch Vacation Bible School
June 21-25, 2010
9 am - 12:30 pm
Ages 3 - (completion of) 6th grade

To register your child, complete the form below or call the church office at 540-967-4361.

Child's Name:
Parent Name:
Address:
Mailing Address
(if different):
Home Phone:
Work Phone:
Cell Phone:
Email:
   
Age Information  
Child Birth Date:
Last Grade Completed:
 
Medical Information
Medical or other information we need to know. (Please include any
food allergies.)
 
   
Emergency Contacts  
Name:
Phone:
   
Name:
Phone:
   
Dismissal Information
Who may pick up your child at the end of each VBS day?
 
   
Other Information
Do you attend Sunday School? If so, where?
 
   
If you are visiting our church, who are you a guest of?
 
   
May we have permission to photograph your child?
 
   
May we have permission to use your child’s photograph in church
publications for the purpose of promotion?