Enroll Me in the “Boomerang Express”- Vacation Bible School

Oak Ridge Baptist VBS, July 12-16, 2009

6:30 - 9:00 pm

Just complete this form and bring with your child to VBS

Child’s Name
Parent/Guardian Name
Child’s Address
Home/Work Phone #
Cellular Phone #
Child’s Date of Birth
Last Grade Child Completed
Do you go to Sunday School?	Yes / No
If so, where do you go to Sunday School?
Medical or other information we need to know
Whom should we contact in case of emergency? (name & phone)
Emergency Contact #2 (name & phone)
Emergency Contact #3 (name & phone)
Any Comments?