VBS Register

PLC's 2009 Vacation Bible School Registration Form
Family's Last Name *
Parent/Guardian *
E-mail
Address
City
State
Phone *
Emergeny Contact Number *
I would like to volunteer the week of VBS	Yes No
If yes, Name & Phone
Child's Information
Child's Name *
Age *
Last Grade Completed
Gender	male female
Birthday
Allergies/Special Needs
Photo/Release Waiver
As a particpant in this program, I recognize that the VBS staff photographs and/or videotaped activities will be used in publicizing VBS within the congregation and on the church website. In registering for this program.
As Parent/Guardian, I agree to the above waiver *	Yes No