VBS Registration - Second Presbyterian Church

VBS 2008
Rainforest Adventure
Registration Form
June 16-19

Dinner ~ 5:30, Program ~ 6:00 - 8:00 p.m.

To register, fill in this form, then click the "Submit Form" button.
Please register by June 1

Participants

Name:   Adult   Youth   Child-Age:
Name:   Adult   Youth   Child-Age:
Name:   Adult   Youth   Child-Age:
Name:   Adult   Youth   Child-Age:

Address:

Home Phone: Cell Phone:

Email Address:

Emergency Information

In case of emergency (when parent or guardian cannot be reached)
please contact:

Name: Telephone:

Relationship to child:

Any allergies the staff should be aware of:

Meals

Please list the number attending dinner each night:

Mon: Tue: Wed: Thu:

Adult Class

"The Great Divorce" by C. S. Lewis
led by Diane Banasiak

Comments

Additional names or other comments:

Second Presbyterian Church, 460 East Main Street;
Lexington, Kentucky 40507 - phone 254-7768

5/08