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PRINT THIS FORM, FILL IT IN, AND MAIL IT TO
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. Signed:
____________________________________________________ Date: __________________ Any
questions call: Marian Bauer, Director of Christian Education at Westminster
Presbyterian Church at phone at
238-3121 or email at marianbauer@westminstermadison.org
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