VBS REGISTRATION 2018

Address

Home Phone

- Area Code Phone Number
Parent/caregiver’s cellphone:

- Area Code Phone Number
E-mail *
Home Church:
Allergies or Other Medical Conditions
In case of emergency, contact phone:

- Area Code Phone Number
Relation to child
Please Note: Dismissal is 9:00 PM Boys will be dismissed from the Fellowship Hall

All Parents are Requested to attend “Thursday Night Closing Program” 6:30 – 8:00 PM

Christian Tabernacle 713-453-7000 ext 232
Should be Empty: