Vacation Bible School On-Line Registration Form

* = Required

FAMILY INFORMATION

Parents/Guardians *

Last Name	First Name

Address *:

City *:

Zip Code *:

Home Phone *: - -

Email Address *:

Current Home Church :

CHILDS INFORMATION

We encourage your children to invite their friends to register for Vacation Bible School.

Child's Name *

Child's Last Name *

Sex

Birth Date

Age
by 9/1/2012

Grade
by 9/1/2012

List up to 2 friends to place with (if different ages, children will be placed in the lower grade level)

List up to 2 friends to place with (if different ages, children will be placed in the lower grade level)

List up to 2 friends to place with (if different ages, children will be placed in the lower grade level)

List up to 2 friends to place with (if different ages, children will be placed in the lower grade level)

ADDITIONAL ORDER

ALL T-SHIRTS SOLD OUT AS OF JULY 5!! NO MORE ORDERS BEING TAKEN!
Adult T-Shirt
Price: $10	Medium : Large : X-Large : 2XL :

ALL T-SHIRTS SOLD OUT AS OF JULY 5!!
NO MORE ORDERS BEING TAKEN!

Adult T-Shirt

Price: $10

Medium :

Large :

X-Large :

2XL :

ALL T-SHIRTS SOLD OUT AS OF JULY 5!! NO MORE ORDERS BEING TAKEN!
Child T-Shirt
Price: $8	Small : Medium : Large :

ALL T-SHIRTS SOLD OUT AS OF JULY 5!!
NO MORE ORDERS BEING TAKEN!

Child T-Shirt

Price: $8

Small :

Medium :

Large :

Music CD
Price: $6

Music CD

Price: $6

*Total Amount :

*Includes Registration Fee: $25 for the first child and $20 for each additional.

PHOTO POLICY *

We will take photos of VBS activities for publicity purposes which may include posting on the church website: www.oursaviours.org or on Facebook. Individual participants will NOT be identified in these photos.

I consent to this policy I do not want my child's photograph used

JULY 4TH PARADE

We will be representing our VBS at the Arlington Heights July 4th parade. We welcome anyone that would like to walk with us and help us to announce our SonSurf Beach Bash VBS.

I am interested in walking in the parade:

Numer of people walking :

PARENT VOLUNTEER INFORMATION *

You are expected to volunteer in at least one area. Please check one or more of the following:

Unless otherwise noted, the following volunteer opportunities can be for a one, two, three, four, or five-day commitment during VBS hours. Lesson plans and activities are provided for those volunteering to teach or to lead centers.

I will need to use the nursery for:

Name	Age

I have a middle school youth that would like to help.

Name	Phone

Comments: