GenesisBaptist Church Vacation Bible School

Genesis Baptist Church
Vacation Bible School
The Jesus Chronicles: A Life-Changing Encounter!”

Pre-registration Form
June 22-June 26, 2009
6:30-8:30 PM

Name ______________________________________________________________
Address _____________________________________________________________
Telephone  #  ________________________________________________________
Parents/Guardians ____________________________________________________
Emergency Contact –Name _____________________________________________
Emergency Contact-Telephone # ________________________________________

Class:  Circle one
Nursery (2-4)
Preschool (4-5)
Primary                (6-9)    
Junior (10-12)                   
Teen (13-17)                     
Adult (18+)
Do you need transportation?   Circle one.            YES                         NO
Please call the church office to verify your name and address if you need transportation.
Will you volunteer?    If YES, circle one.                 Teacher                Asst. Teacher        Another  Area
Volunteers will meet on Saturday, June 6 and Saturday, June 20 from 10:00-11:00 AM—at Genesis.
Questions or concerns, call Sis. Fannie Bratcher, 336 392-9230


Name Sales End Price
VBS Pass Ended Free

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