Trinity Presbyterian Church
HOME MISSIONS YOUTH VBS FELLOWSHIP ABOUT

Trinity Presbyterian Church
“Sermon on the Mound”
VBS REGISTRATION FORM

June 9-13, 2008

For a Printable Form, please click HERE.

4K-5th Grade follows this guideline:
Must have been 4 before September 1st, 2007.
Submit by May 30th to insure sure you receive a T-shirt.

Parent/Guardian Name: 

Street:   

City: State: ZIP:

Phone:   Work Phone:   

E-mail:

 

Church Affiliation: 

Would you like more information about Trinity PCA?  Yes      No

 

Child’s Name:

Date of Birth:   Shirt Size:

Grade just finished:

Allergies or other concerns:

Child’s Name:

Date of Birth:   Shirt Size:

Grade just finished:

Allergies or other concerns:

 

Child’s Name:

Date of Birth:   Shirt Size:

Grade just finished:

Allergies or other concerns:

 

Consent to Provide Medical Care

I understand that if serious illness or injury occurs, I will be notified.  If it is impossible to contact me, I give permission for emergency treatment as recommended by the attending physician.   I have read and understand the above information. 

Parent Signature will be required on 1st day of VBS.

If you cannot contact me, please contact one of the following people in case of emergency:

Name:

Phone:

Relationship:

Name:

Phone:

Relationship: