Church Street United Methodist Church, Knoxville, TN

Vacation Bible School at Church Street!

2012 VBS registration details will be announced in the spring!

Child's Name #1

Birthdate

Child's Name #2

Birthdate

Child's Name #3

Birthdate

Child's Name #4

Birthdate

Complete Address

Parent(s)

Home Telephone

Cell Phone

Parent Email Address

Grade(s)

(Completed by May 2011) NOTE: Child must be 3 years old by January 1, 2011 to register.

Emergency contact

(Please include Name and Phone Number during VBS week)

Allergies or other medical conditions

VBS T-Shirts will be provided to all children who pre-registered by May 15th.

Children's T-Shirt Size(s)

Small (6-8) Medium (10-12) Large (14-16) Extra Large (18-20)

Musical CDs are available for $8. Must be paid in advance by May 15.

Number of CDs requested:

Thank you for registering your child for VBS!

Note: Many adults are needed to make this event successful. Someone will be in touch about ways you can help.