Gold Rush

Vacation Bible School 2011

August 1st-5th 5:30 p.m.-8:30 p.m.

For children age K through 5th grade (just completed 5th grade)

REGISTER BELOW!!

Parent/Guardian's Name:

Address: City: Zip code:

Phone 1: Phone 2: e-mail:

Names of Children
Attending VBS

Grade
(Just Completed)

 Sex

 

Optional: I want a VBS t-shirt ($12)

 yes no

Child Size
or Adult Size?

Shirt Size






Allergies or Special needs:

 

After you hit the "submit" button below you will see the information that will be sent to the VBS director. When you are done reviewing your entries, click the "back" button on your internet browser. At this point, you will be finished with registration!