Mt.Olive General Baptist Church

4377 Hwy 261

Newburgh, IN  47630

                                      2008 VBS Pre-Registration Form

Child's Name:_________________________________________________

Child's Address:_______________________________________________

Parent's Name(s):______________________________________________

Phone: Home:______________________Cell:_______________________

Child's Age:_______Last Grade Completed:_________________________

Emergency Contact Info:________________________________________

____________________________________________________________

Allergy/Medical Conditions:_____________________________________

____________________________________________________________

How did you hear about our VBS? (Please circle all that apply)

     Mailer        Family/Friend          Poster          Church sign       Web-site

Please complete and mail/deliver to Mt. Olive GB Church. Address above.

Thank You and GOD Bless.

See you in June!

|Home|