Cullman Church of Christ VBS 2009 Registration

Child's Name
Address
City, State
Zip
2009/10 School Grade
Age
T-Shirt Size
I will be attending:	Tuesday Night (Classes for all ages) Wednesday Night Thursday Night Friday Night - # Attending Friday is family night. Plan for the entire family to attend!
Parent/Guardian's Name
Email Address
Phone number(s) where parents can be reached during VBS
Allergies/Special Needs/Security issues of your child that need to be communicated
Emergency Contact other than Parent/Guardian
Phone number(s) where emergency contact can be reached during VBS
People authorized to pick up your child from VBS other than parent/guardian.