Faith Community Church: Home: VBS Registration


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VBS Registration * Required Errors First Name * Last Name * Email Address * Birthday * Address Line 1 * Address Line 2 City * State * ZIP Code * Home or Mobile Phone * ( ) - ext. Fall 2011 Grade * Parent's Name(s) * Insurance Carrier * Emergency Contact Person & Phone * Any allergies or medical concerns? Home Church My child has permission to participate in Vacation Bible School at Faith Community Church. I am aware that every precaution will be taken for the safety of my child. However, in the event of an emergency where I or my emergency contact person is not reachable, I give my permission to the church staff to obtain medical services. Parent/Guardian Signature (Please type your name) * Tshirt Size S M L XL Submitting this form will reserve your childs spot for VBS 2010 at Faith Community Church. Please submit your registration fee of $20 child or $35 for a family of 2 or more children to:Faith Community Church, 10220 238th St. SWEdmonds, WA. 98020. For further information please call the church office at 206-542-8883 I am able to help during the week Monday-Friday I am able to help occasionally Please indicate days
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