Child's Name #1
Age


Child's Name #2
Age


Child's Name #3
Age


Child's Name #4
Age



Complete Address


Parent(s)


Home Telephone
Cell Phone


Parent Email Address


Grade(s)


(Completed by May 2010)

Emergency contact


(Please include Name and Phone Number during VBS week)


Allergies or other medical conditions  


VBS T-Shirts will be provided to all children who pre-registered by May 15th.
Children's T-Shirt Size(s)  
Small (6-8)   Medium (10-12)   Large (14-16)   Extra Large (18-20)  


Musical CDs are available for $8.00, if requested. Do you want one?
Yes!

 


Thank you for registering your child for VBS!

Note: Many adults are needed to make this event successful. Someone will be in touch about ways you can help.

  



Church Street United Methodist Church • 900 Henley Street • Knoxville, TN 37902 • (865) 524-3048
Copyright ©2010 Church Street United Methodist Church, Knoxville, TN