Immanuel Baptist VBS 2010 Pre-Enrollment
Immanuel Vacation Bible School Registration Form
Galactic Blast Theme
Last Name
First Name
Address
House Num. Str., City, State, ZIP (Clear first)
Home Phone (no spaces)
Cell Phone (no spaces)
Email
Birthdate | Preschool Only
Last Grade Completed - Children
'Do you attend Sunday School?'
Yes
No
Where?
How did you hear about our Bible School?
Medical/other information we need to know?
Emergency Name & Contact Number
Name | Phone (clear first)
Friend's name your child would like to be with?