Child's Information

  Please fill in the Childs age and school grade just completed and check the appropriate box below.

 *child's age                *school grade just completed            

                                   PRESCHOOLERS: Child must be 3 years old as of Sept 1, 2007 to attend VBS.

                                      Preschoolers will be placed in a class based on their age on Sept 1, 2007.

 *child's birth date      (example, month - day - year)

 *child's first name 

 *child's last name 

 *child's address

      street 1  

       street 2     (if required)

Parents / Guardian Information

*parents / guardian name   (first and last)

*parents address (if different then above)

      *street 1   (if different)

         street 2     ( if required)

 *parents/guardian home phone/cell phone  

 *emergency phone number                         (only used for emergency)

   email address                                       

   does your child have a bible?     Yes     No, I would like to receive one.

   how did you hear about Eastminster VBS?

        radio

        newspaper

        at church

        church sign

        web site

        other...

    church where the child attends  

    name (s) of other siblings attending VBS? 

    first time for VBS at Eastminster?     yes   no

    interested in helping with VBS?        yes   no

    request for placement with a friend in the same grade (if possible)

    friends name  

VBS starts on Monday, 16 June 2008 @ 9:00 a.m.

You will receive an email from the staff as your confirmation.

If any registration questions, email

Kim Wolff at 

Registration ends Sunday, 1 June 2008

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