Register for Vacation Bible School June 2010
PLANET ZOOM
I Bee-Lieve in Jesus
OUR
2010
FOR THE WHOLE FAMILY
June 20 - 24
Parent’s Names: _____________________________________________
Phone: ______________________________
Family Address: ______________________________________________
Names of Children/adults attending Childs Birth date & Grade this fall
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____________________________ _________________________
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____________________________ _________________________
____________________________ _________________________
Allergies/other medical problems: ________________________________
Person to notify in case of emergency and phone number:
____________________________________ __________________
Please sign if we have permission to take your child’s photograph during VBS and display it.
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Our
812-476-8707
oslc59@gmail.com
