VACATION BIBLE SCHOOL REGISTRATION FORM
Bring to church or mail to:
The Church in Silver Lake
2951 Kent Road, Silver Lake, OH 44224
Summer 2010, July 19th - 23rd, 6:00 - 8:00 P.M.
Galactic Blast: A Cosmic Adventure Praising God!
Name of Child:
___________________________________________
Parent (s) Name:
___________________________________________
Address:____________________________________
Home Phone:_(______)________________________
Cell Phone:__(_______)________________________
Email:______________________________________
Child's Birth Date:___/____/____
Grade in school this Fall:________________________
School Name:________________________________
Allergies_____________________________________
If you would like to help with Vacation Bible School, please mark your areas of interest:
_____music _____arts and crafts
_____playing music _____teaching
_____singing _____preparing snacks
_____games _____anything!
Which age group(s) are you interested in working with:
____4 and 5 year olds
____1st and 2nd grade
_____3rd and 4th grade
_____5th and 6th grade
Name of volunteer:_____________________________________
Best phone to reach you:________________________________
Email:______________________________________________
May we contact you to donate snack items? Please circle one:
Yes please! No thank you.
You have permission to use photographs taken of my
child during Vacation Bible School for publicity purposes. Please curcle one:
Yes No
______________________________________________
Signature of Parent or Guardian Date