Vacation Bible School - 2009
"Crocodile Dock "
Where Fearless Kids Shine God's Light

Sponsored by:
First Presbyterian Church and Saint John Lutheran Church
Bellevue, Iowa

Sunday, August 2nd through Thursday, August 6th
5:00 PM until 8:00 PM
at Saint John Lutheran Church

Open to All Youth who are 4 years old through those entering 6th Grade!
Children MUST be 4 years old by May 1st, 200
9

Youth entering 7th grade and older are invited to be Crew Leaders or Leaders in Training!!

(* denotes a field that must be filled in)

You will receive a copy of this via email to verify that we have received it.

2009 Registration for Vacation Bible School

Name of Child *
Date of Birth & Grade*
Name of Child*
Date of Birth & Grade*
Name of Child*
Date of Birth & Grade*
Name of Child*
Date of Birth & Grade*
Parent/Guardian Name*
Address*
Phone Number*
Cell Phone
Email Address*
Church Membership
Emergency Contact*
Home Phone*
Cell Phone*
Allergies or Medical Concerns
Transportation Authorization * for 5th & 6th Graders

          

Parent/guardian will be required to sign a transportation authorization form
at registration. 

QUESTIONS?  CALL:

KAY ANN SCHROEDER AT (563) 872-4542
SAINT JOHN LUTHERAN CHURCH AT (563) 872-5849

SHANNON WEDEKING AT 872-3856
FIRST PRESBYTERIAN  CHURCH AT 872-4853

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