COPY THE FORM INTO AN EMAIL, FILL IT IN, AND EMAIL TO

marianbauer@westminstermadison.org

Great Bible Reef Vacation Bible School Registration Form

Parents’ Names:

Address:

Phone:

Cell Phone:

Child(ren)’s names and ages

Name                                 Age Grade (finished by June 2007)

Emergency Contact (Relationship to child):

Emergency Number:

We will have simple meals on June 24 - 28. Please let the VBS

Leaders know the on the first day of VBS about allergies or other

important information about your child(ren).

My child(ren)

(has, have) my permission to be involved in the VBS of Westminster

Presbyterian Church, Madison, WI on Sunday, June 24 and Monday

through Thursday, June 25-28, 2007.

A signed, dated form must be submitted to Westminster on or by the

beginning of the VBS.

Any questions call: Marian Bauer, Director of Christian Education at

Westminster Presbyterian Church at phone at 238-3121 or email at

marianbauer@westminstermadison.org