First Baptist, Social Circle
VACATION BIBLE SCHOOL REGISTRATION
"Outrigger's Island"
For Children who have completed K5 - 5th Grade
June 9 - 13, 2008 from 9 AM - 12 PM
 
  Child's Name:  
  Parent (s):  
  Address:  
  City & Zip:
  Home Phone:
  Cell Phone:
  E-mail Address:
  Last school grade completed:   Age:    Birth Date: 
  Do you go to Sunday School?:    Where? 
  Medical, allergy, or other information we need to know:  
  Emergency Contact Name: 
  Emergency Contact Phone: 
  Who may pick up this child?
Name: 


Phone:  		 
     

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