Calvin Presbyterian Church Vacation Bible School

2009 Registration Form
July 20 – 24, 2009  9:00 am – 12:00 pm
$5.00 Suggested Donation Per Child

Please fill out both sides of this form.

Child’s Name:_________________________________________      Nickname_______________________

Address:______________________________________________________________________________

City/State/Zip:____________________   Phone Number: ______________Grade Entering in Fall:_______

Child’s Name:_________________________________________      Nickname_______________________

Address:______________________________________________________________________________

City/State/Zip:____________________   Phone Number: ______________Grade Entering in Fall:_______

Child’s Name:_________________________________________      Nickname_______________________

Address:______________________________________________________________________________

City/State/Zip:____________________   Phone Number: ______________Grade Entering in Fall:_______

Parents/Guardians:_____________________________________________________________________

Address:______________________________________________________________________________

City/State/Zip:_______________________________ Email address:______________________________

Home Phone:_________________ Work Phone:___________________    Cell Phone:_________________

 Emergency Contact (other than parents):____________________________________________________

 Allergy information (please specify which child)______________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

 Anything that we should know about your child (special needs, friend requests):____________________

_____________________________________________________________________________________

_____________________________________________________________________________________

·         Please leave all video games, toys, cell phones and electronic devices at home.  These items will be confiscated and
kept in the church office.  Parents will need to claim any confiscated items during when they pick up their child.

·         VBS starts each morning at 9:00 am and ends at 12:00 pm.  Please drop off and pick up your child in a timely manner.

·         The preschool VBS is limited to 20 children.  Children must be 3-4 years of age, entering preschool in the
fall and fully potty trained (no pull-ups).

_____________________________________________________                    ___________________

Parent/Guardian Signature                                                                                     Date

Mail to: Calvin Presbyterian Church
10445 SW Canterbury Lane, Tigard, Oregon 97224