SonHarvest County Fair
Vacation Bible School
Good Shepherd Episcopal Church
July 21-25, 2008
Registration Form
Name___________________________________________
Address__________________________________________
City__________ State________ Zip___________________
Phone Number____________________________________
Parent(s) Name___________________________________
Additional phone numbers___________________________
Allergies or medical conditions________________________
_________________________________________________
School grade entering Fall ‘08 _________________________
Birthdate ____________ T-Shirt Size YS YM YL AS AM AL AXL
Dinner will be provided each evening for children and volunteers.
Please include VBS Fee of $10.00 per child ($30.00 max per family) cash or check payable to Good Shepherd.
I (we) the undersigned parent or guardian of above child do hereby authorize adult volunteers of Good Shepherd church as agent(s) for the undersigned to consent to any medical or surgical care deemed advisable by any accredited physician or surgeon in an approved emergency clinic of hospital. I further release Good Shepherd church from any liability, any of its ministries or leaders in the event of an accident en route, during and returning from above mentioned event.
Parent/Guardian Signature_____________________________ Date______
If you have any questions about VBS, please call Renee Haney at 721-8096, 942-1765 or email gsdce@sbcglobal.net
Please put this flyer in the VBS Registration Box in the Fellowship Hall or return to the church office by June 22nd.
