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Vacation Bible School Registration Form

Your child will enter the amazing VBS Power Lab and will discover Jesus' Miraculous Power!  Get ready for an exciting adventure, following Jesus as he heals, helps and gives power to people who need him.

Power Lab is fizzing with fun for kids, teenagers, and adults!

Lab Hours:  June 16-20, 2008 from 6:00 p.m. - 9:00 p.m. (dinner included)

Sign-Up Today!

Child's Name (1):   Age:   Last Grade Completed:

Child's Name (2):   Age:   Last Grade Completed:

Child's Name (3):   Age:   Last Grade Completed:

Child's Name (4):   Age:   Last Grade Completed:

Street Address:

City:    State:    Zip:

Home Telephone (with area code): 

Parent/Caregiver Cell Phone  (with area code): 

Home Email Address:

Parish:

In case of emergency contact:

Mother:     Staying for dinner & program

Father:       Staying for dinner & program

Other:        Staying for dinner & program