VBS Registration Form

Vacation Bible School
REGISTRATION FORM
LAKE ARROWHEAD COMMUNITY PRESBYTERIAN CHURCH
351 S. St Hwy 173
June 21st through June 25th

A value is required.

Child's First Name

Child's Last Name

Parent's Name

Mailing Address

Physical Address

Email Address

Home Phone

Work Phone

Cell Phone

Child's Date of Birth

Age

Last School Grade Completed

Home Church

Allergies/Medical Information

Emergency Contacts:	Name
	Name

	Phone
	Phone

List name of persons who may pick up this child from VBS each day:

List name of friends that child may want to be grouped with:

$10.00 Registration (maximum of $25 per familiy) Scholarships are available. Please contact the church for more information.
$6.00 for Tee-Shirt Tee-Shirt Size: Child Adult
Fees to be paid : cash check (Due on first day of VBS)
If your child wishes to learn the songs before VBS, CD's will be available at the Church office or at the start of VBS for a suggested donation of $3.75

We may be photographing or video taping during VBS. These images may be used in presentations and publications developed by the church and on the church website. By clicking on Submit below, you authorize Lake Arrowhead Community Presbyterian Church to photograph your child(ren).

LAKE ARROWHEAD COMMUNITY PRESBYTERIAN CHURCH

351 So. State Hwy 173, P.O. Box 340
Lake Arrowhead, CA 92352
909-336-1502
http://www.cpcla.net

Galileo the Gorilla with Rocket - VBS 2010