Vacation Bible School 2010
Date: August 23-27, 2010
Time: 9:30am – 12:00pm
Ages: 5 – 10 yrs children entering Kindergarten through 5th grade
Location: Trinity Episcopal Church – 651 Pequot Ave. Southport
Registration Fee: $45.00 (Checks payable to Trinity Episcopal Church)
Directed by: Wendy Steinfeld, Dir. of Church School at Trinity
Amy Borruso, Dir. of Church School at St. Timothy’s
Registration Form – Please note parent participation required
Child’s Name: ______________________ Parent’s Names:__________________________
Street address: _____________________________________________________________
City: ___________________________State: _________ZIP: ______________
State: _________ZIP: ______________Home telephone: _______________________Cell number: ____________________
Cell number: ____________________Home e-mail address: _____________________________________________
Age: _________School grade entering in fall: _________
School grade entering in fall: _________In case of emergency, contact:
Mother: ______________________________________________________
Father: ______________________________________________________
Other: _______________________________________________________
Allergies or other medical conditions: _____________________________Latex allergy? Y N
Latex allergy? Y NHome church: __________________________________________________
Name of 1 special friend your child might like to be with: _________________________________
Parent help is required and necessary to make our VBS a success on the High Seas
______ I would like to be a crew leader of a small group of children (no prep work)
______ I would like to be a mission leader, music leader, game leader, craft leader
______ I would like to be in charge of decorating for VBS week
______ I would like to chair the Closing Party on Friday, August 27
______ I would like to make a donation towards VBS operations
