Vbs Form For Webstie
0 likes84 views
VBS registration requires one form per child, with photocopies accepted. The registration fee is $8 per child with a $24 family maximum. Children will be placed in classes according to their grade in the fall of 2009. Placement with friends cannot be guaranteed. VBS will be held June 22-26, 2009 from 9 AM to 12:10 PM at Oregon City Evangelical Church. The registration form requests contact and medical information. Parents must sign an emergency medical release.
![VBS registration: ONE FORM PER CHILD. Photocopies accepted.
Reg. Fee: $8 child/$24 family max.
Name________________________________________________________ M/F
(First) (Last)
Birthdate: ______/______/______ Age: _______ Grade In Fall: ___________
When: June 22-26, 2009 (NOTE: Placement is made according to school grade, friends/guests of different grade levels will NOT be
9 AM - 12:10 PM placed in the same class).
(Check-in starts at 8:40 AM) Special Request to be with Friends/Teacher (we try to honor requests, but no guarantees):
_______________________________________________________________________
Where: Oregon City Evangelical Church
1024 Linn Ave (PO Box 10) Parent/Guardian: [ Ms. / Mrs. / Mr. ] _________________________________________
Oregon City, OR 97045 (Circle) (First) (Last)
Home Phone: ______________________ Alt. Phone: __________________________
(503) 656-8582
Address: ____________________________________ City: _____________________
Who: For children entering Kindergarten State: ______ Zip:_______________
through those entering Grade 5 Fall 2009. Alternate Contact: ______________________ Phone: ________________________
Invite your friends to join you. Church You Attend: ______________________ Invited by: ___________________
Note: Placement is made according to school grade.
Friends & guests of different grade levels will NOT be placed Snack/Food Allergies: ___________________________________________________
in the same class. Medical Allergies: _______________________________________________________
Medical problems or other pertinent information: _____________________________
Cost: $8 per child
_______________________________________________________________________
Maximum of $24 per family
(Scholarships available) Medications being taken: ________________________________________________
(NOTE: if medication must be administered during VBS hours, it must be checked into the office at check-in
time to be dispensed by office staff).
Register EARLY EMERGENCY MEDICAL RELEASE: I give permission for my son/daughter to
to guarantee your spot! receive any medical attention that may be deemed necessary.
_____________________________________ [SIGNATURE REQUIRED]
Insurance Co _________________________ Policy # __________________________
Oregon City Evangelical Church ~ 1024 Linn Ave / PO Box 10 ~ Oregon City, OR 97045
(Registrar Use Only) Pd Class _____________________________](https://image.slidesharecdn.com/vbsformforwebstie-090617122039-phpapp02/85/Vbs-Form-For-Webstie-1-320.jpg)
Vbs Form For Webstie
- 1. VBS registration: ONE FORM PER CHILD. Photocopies accepted. Reg. Fee: $8 child/$24 family max. Name________________________________________________________ M/F (First) (Last) Birthdate: ______/______/______ Age: _______ Grade In Fall: ___________ When: June 22-26, 2009 (NOTE: Placement is made according to school grade, friends/guests of different grade levels will NOT be 9 AM - 12:10 PM placed in the same class). (Check-in starts at 8:40 AM) Special Request to be with Friends/Teacher (we try to honor requests, but no guarantees): _______________________________________________________________________ Where: Oregon City Evangelical Church 1024 Linn Ave (PO Box 10) Parent/Guardian: [ Ms. / Mrs. / Mr. ] _________________________________________ Oregon City, OR 97045 (Circle) (First) (Last) Home Phone: ______________________ Alt. Phone: __________________________ (503) 656-8582 Address: ____________________________________ City: _____________________ Who: For children entering Kindergarten State: ______ Zip:_______________ through those entering Grade 5 Fall 2009. Alternate Contact: ______________________ Phone: ________________________ Invite your friends to join you. Church You Attend: ______________________ Invited by: ___________________ Note: Placement is made according to school grade. Friends & guests of different grade levels will NOT be placed Snack/Food Allergies: ___________________________________________________ in the same class. Medical Allergies: _______________________________________________________ Medical problems or other pertinent information: _____________________________ Cost: $8 per child _______________________________________________________________________ Maximum of $24 per family (Scholarships available) Medications being taken: ________________________________________________ (NOTE: if medication must be administered during VBS hours, it must be checked into the office at check-in time to be dispensed by office staff). Register EARLY EMERGENCY MEDICAL RELEASE: I give permission for my son/daughter to to guarantee your spot! receive any medical attention that may be deemed necessary. _____________________________________ [SIGNATURE REQUIRED] Insurance Co _________________________ Policy # __________________________ Oregon City Evangelical Church ~ 1024 Linn Ave / PO Box 10 ~ Oregon City, OR 97045 (Registrar Use Only) Pd Class _____________________________