Vacation Bible School 2008

Pre-registration Form
 
Participant's Name:  
Parents/Guardians:  
Email Address:
Street Address/POB:  
City:  
   
Home Phone:
Work Phone:  
Cell Phone:  
   
Last grade completed:  
   
Medical or other info we need to know (including food allergies):
   
Emergency Contacts:  
     Name:  
     Phone:  
   
     Name:  
     Phone:  
   
Dismissal Information:
     May pick-up child:  
   
Attend Sunday School?  
If so, where?
   
Who invited you?
   
May we photograph your child?      
 
May we use your child's photo in church publications?      
 

  

 

 

 

Highway 70 • Knob Lick, Kentucky
http://www.antiochministries.net
church@antiochministries.net
© 2008 Antioch Baptist Church