:: Power Lab :: 2008 VBS :: Immanuel Church of the Nazarene ::

Preregistering your child is an important and helpful process in preparing for Vacation Bible School. Preregistering not only ensures your child can participate in VBS activities, but it also reduces the complications for both you and VBS helpers. Thank you for registering your child(ren)!

If your child is between the ages of 3 and grade 6 (as completed in June 2008), you can register him/her for Vacation Bible School. You can register as many children as you like, but please fill out a separate form for each child you are registering. If you would rather hand in a registration form to the church personally, you can print out a registration form and drop it off at the VBS table.

The password is to ensure your child's security and that when it comes time to leave on VBS nights, the right guardian/parent is matched with the right child.

Mother's/Guardian's Name:
Father's Name:
I am the child's legal guardian		I am the child's parent
E-mail address:
Child's First Name:
Child's Last Name:
Birth Date (MM/DD/YY):

Please select a grade or age
Age	3 years 4 years 5 years
Grade Completed in June 2008:	Kindergarten 1st 2nd 3rd 4th 5th 6th

Address:
City:
State (Abbreviation):
Zipcode:
Home Phone Number:	- -
Church Home:	None ICN Other:
Any medical concerns or allergies:
Emergency Contact Name:
Emergency Phone:	- -
Password (to be used to pick up child):
Referred by:
Any comments, questions, concerns: