Printable Registration Form
Transcripción
Printable Registration Form
Vacation Bible School /Escuela Bíblica de Vacaciones July 25-29, 6:00-8:30 PM Registration Form (One Per Child) Formulario de inscripción para los niños For children 3 yrs old - finished 5th grade. Child’s name:___________________________________________ Child’s gender: ____________ Child’s age:________Date of birth:_______________ Last school grade completed:_________ Name of parent(s):__________________________________________________________________ Street address:_____________________________________________________________________ City:________________________________________ State:_________ ZIP:___________________ Home telephone: (_______)__________________________________________________________ Parent/caregiver’s cell phone: (_______)_______________________________________________ Home e-mail address:_______________________________________________________________ Home church: _____________________________________________________________________ Crew number or name (for church use only):__________________________________________ Allergies or other medical conditions:_________________________________________________ In case of emergency, contact:_______________________________________________ Phone: ___________________________________ Relationship to child:________________________________________________________ Please complete one form per child and put it in the offering, or drop at the church. Providence Assembly of God/Iglesia Comunitaria Cristiana, 353 Elmwood Ave. Providence, RI