Elkins Lake Baptist Church
2008 Vacation Bible School
Enrollment Form		 VBS logo



Child Information:

Child's Name:
Birthday YYYY Format
Last grade completed:(for children):
Street Address:
City, State ZIP:,


Contact Information:

Parent/Guardian Name:
What phone numbers can you be reached at during the hours of VBS (8 a.m. to 12 p.m.)
Home Work Other
Do you go to Sunday School?Yes No
If yes, where?

Medical, Allergy, Special Needs Information:

Emergency Contact Information: (Other than above)

Name: Phone:
Name: Phone:

Who may pick up this child at the end of VBS each day?

May we have permission to photograph your child? Yes No

May we have permission to publish photgraph in church media for the purpose of promotion? (WITHOUT identifiying information)? Yes No