2008
Vacation Bible School
Registration

Whitmore Lake Elementary School
1077 Barker Road
Whitmore Lake, MI

July 28 to August 1
9:00 am to 11:30 am

$10 per child
$20 per family maximum

Child's
First name:
Last name: Male Female
Street Address:
Apartment No:
City:
State:
Zip code:
Phone:
Age:
Grade Attending in Fall:
Medical condition we should know about:

Mother's First Name:
Mother's Last Name:
Mother's Cell or Work Phone:
Mother's E-mail:

Father's First Name:
Father's Last Name:
Father's Cell or work Phone:
Father's E-mail:

Photo Release: You have our permission to use any photos of our family for promotional purposes. Yes No

Home Church:
How did you hear about us?