Registration Form for 2010 VBS.

Child's Information:

Child's Name
Date of Birth
Age
Grade
Sex	Male Female

Parent's Information:

          My Child has permission to attend and participate in

          Calvary's VBS Program       Yes No (Please Check One)

Parent's Name
Street Address
Address (cont.)
City
State
Zip Code
Work Phone
Home Phone
Cell Phone
Parent's E-mail (for confirmation)
Emergency Contact:
Emergency Contact Relationship:
Emergency Contact Phone:

Allergy or Health Concerns - Please be specific:

Do you currently attend a home church? Yes  No     If Yes, please give us the name:

Please note: you should get a confirmation by return email in about 48 hours for each registration.  If you do not, please call the office at 732-449-8889 and speak to Barbara or leave a message for her.  Submit the form by clicking the button below.  Thank you.