DEER PARK VBS / MUSIC CAMP REGISTRATION FORM

Please fill out the form below to Register for Vacation Bible School and Music Camp

Vacation Bible School Music Camp
June 14-18, 2010 July 26-31, 2010
9:00 AM - 12:00 PM 5:30 PM - 8:30 PM

Cost: FREE

Cost: $20.00 for week
Grades: 4yrs - 6th grd. Grades: 1st - 6th grd.

 

Parent / Guardian Name

Phone

Address

City 

State

Zip Code

Email Address

Emergency Contact

Emergency Contact Phone

Are you a member of a church?  yes   no

If yes, where?

Are you interested in information about Deer Park Baptist Church?  yes   no

Child's Name

Birthdate

Age

Grade Completed

T-shirt Size  

Participating in:  Vacation Bible School    Music Camp

Allergies
(If food allergy, please send a snack.)

Comments: (Please include any medical illnesses / special needs)

 

Transportation (VBS Only):

 

By clicking SUBMIT FORM, I give my full consent/permission for my child listed above to participate in church activities and ride in church sponsored vehicles. Any pictures taken may be used in crafts, on videos, and on the church website. I release Deer Park Baptist Church, its staff, and its representstives of any and all legal responsibilities.