2008 VBS Registration Card - God's Big Backyard

St. Andrews Presbyterian Church  


Child's Name M/F
Address Birth date
Home phone    
Parent/Guardian    
Parent Address (if different)    
Relation to Child    
Emergency Contact during VBS    
Food Allergies/Other conditions    
Attends Which Church? Member Y/N
Prefer my child to be in a group with (name of child's friend)