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    Made on a Mac

    Join us for The Nativity Activity Vacation Bible School!

    June 11-15, 2007 9-Noon

    Closing Program: Sunday, June 17, 9 AM

    5 Days of fun and learning about Jesus, our Savior

    Sign up today!

    Please sign up once for each child.

    Transportation needed?
    Yes, I need a ride.
    No, I don't need transportation.

    Name:
    Grade Completed: Birthday: Age:
    Parents' Names:
    Street Address:
    City: State: Zip:
    Phone: Alt. Phone:
    E-mail:
    Emergency Contact Person:
    Relationship to Student:
    Home Phone: Alt Phone:
    Family Doctor: Phone:
    Allergies or other medical problems:

    Siblings attending VBS (Names & Ages):

    Church Affiliation (Lutheran, Catholic, etc.):
    Church membership at:

    Brought by:

    I give permission for my child's photo (not name) to be used in promotional materials.

    Comments:

    NOTE: Our cost for supplies per child is about $5. There is no charge to students, but please prayerfully consider the costs for your child, as well as those unable to pay.