Howdy Cross Word Family!

 
     
 

"Growing Spiritually Empowered Christians"

 
     

 

Home > Vacation Bible School
 

Cross Word Church VBS 2010 REGISTRATION FORM
 
****Last Day to Pre-register for VBS is Saturday, July 10th****
Child 1 Full Name
Birth date: Gender: Grade in Fall 10'
 
Medical info we need to know:

Child 2 Full Name
 
Birth date: Gender: Grade in Fall 10'
 
Medical info we need to know:

Child 3 Full Name
 
Birth date: Gender: Grade in Fall 10'
 
Medical info we need to know:

Parent(s) Name
Address:
City: State: Zip:
Phone: Cell:
Email:
 
Emergency Contact: Phone:
Relationship:
   
Other Info:
Does your family attend Sunday school? If so, where?
If visiting, who invited you? :

T-Shirt Order Request
(VBS T-shirts are available for $5.00)

Yes, I would Like To Order | Quantiy of T-Shirts:
  Sizes Available: YS YM YL AS AM AL
   

Preference on being contacted:
       
       
   
             
 
     

Thank you for using Cross Word's VBS Registration Form.
You will receive a response to your request as soon as possible!