Pine Forest Baptist Church Vacation Bible School

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Lifeway's Boomerang Express Vacation Bible School Pre K4 - 5th Grade July 20-24, 9:00 am - noon

Register on this page for your children to attend VBS
at Pine Forest Baptist Church, July 20-24, 2009

Also, please know that you are invited to the VBS Family Night, Thursday at 6:30 pm in the Sanctuary.

Please enter the following information:

If you would like a reply, please indicate so in the comments and include your e-mail address.

Parent's or Guardian's First and Last Names:

Home Address:

Mail Address: (If different than street address)

e-Mail Address:


Phone Number(s) where you may be reached:
Home:    Work:   Cell:

Emergency Contact(s):
Name: Phone:
Name: Phone:

Dismissal Information: Who may pick up your child (children) at the end of VBS each day:

Please enter First and Last Names of each child to be registered:

1. Name: Age of this Child: Grade Completed:
Medical information we need to know (please include any food allergies)

2. Name: Age of this Child: Grade Completed:
Medical information we need to know (please include any food allergies)

3. Name: Age of this Child: Grade Completed:
Medical information we need to know (please include any food allergies)

4. Name: Age of this Child: Grade Completed:
Medical information we need to know (please include any food allergies)

Questions / Comments?

Thank you for your time.  Please ensure your information is correct then click the Submit button only once.    (the information is sent each time the button is clicked).  If you discover that your information is incorrect, simply resend with the correct information and include a comment letting us know that it's corrected information.

THANKS!