Vacation Bible School - 2008 "Rainforest Adventure" Sponsored by: First Presbyterian Church and Saint John Lutheran Church Bellevue, Iowa Sunday, July 27th through Thursday, July 31st 5:00 PM until 8:10 PM at Saint John Lutheran Church

Open to All Youth who are 4 years old through those entering 6th Grade!
Children MUST be 4 years old by May 1st, 2008

(* denotes a field that must be filled in)

You will receive a copy of this for via email to verify that we have received it.

 

Registration for Vacation Bible School - 2008

Name of Child *
Date of Birth & Grade*
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Date of Birth & Grade
Name of Child
Date of Birth & Grade
Name of Child
Date of Birth & Grade
Parent/Guardian Name*
Address*
Phone Number*
E-mail address
Church Membership	First PresbyterianSaint JohnSaint JosephNoneOther
Emergency Contact*
Home Phone*
Cell Phone
Allergies or Medical Concerns
Transportation Authorization* 5th & 6th Graders	Yes-Permission given to transport my child to Saint John Retreat Center No-I do not want my child transported to Saint John Retreat Center
* Parents or Guardians granting permission to have their 5th or 6th graders transported to the Retreat Center will be asked to sign this form at registration on Sunday, July 27th You will receive a copy of this form via email to verify that we have received it.   Image Verification Please enter the text from the image [ Refresh Image ] [ What's This? ]

QUESTIONS?  CALL:
KAY ANN SCHROEDER AT (563) 872-4542
VIVIAN PITLOW AT (563) 872-5764
SAINT JOHN LUTHERAN CHURCH AT (563) 872-5849

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