CTK Sunday School Registration Form

2009 VBS Registration

Mother's first and last name (last name first)

Mother's email

Mother's cell phone

Mother's work phone

Father's first and last name (last name first)

Father's email

Father's cell phone

Father's work phone

Home address

Church affiliation

Emergency contact first and last name

Emergency contact phone number

Emergency contact relationship

Health insurance company

Insurance policy holder name

Insurance policy number

Physician name

Physician phone number

Adult Volunteers

Name (last name first)

TeacherLead teacherAssistant teacher

DramaCraftsSnacksMusicGamesNursery

Days availableMondayTuesdayWednesdayThursdayFriday

Volunteers: Need nursery care?YesNo

First child in nursery name (last name first)

Birthdate

Any allergies or medical conditions

Second child in nursery name (last name first)

Birthdate

Any allergies or medical conditions

Youth Volunteers

Youth Volunteer (last name first)

Grade entering Fall 2009

Any allergies or medical conditions

TeacherLead teacherAssistant teacher

What age group?

DramaCraftsSnacksMusicGamesNursery

Days availableMondayTuesdayWednesdayThursdayFriday

Student Registration

VBS Student 1:

Name (last name first)

Student birthdate

Student's grade entering fall 2009

Any allergies or medical conditions

VBS Student 2:

Name (last name first)

Student birthdate

Student's grade entering fall 2009

Any allergies or medical conditions

VBS Student 3:

Name (last name first)

Student birthdate

Student's grade entering fall 2009

Any allergies or medical conditions

VBS Student 4:

Name (last name first)

Student birthdate

Student's grade entering fall 2009

Any allergies or medical conditions

VBS Student 5:

Name (last name first)

Student birthdate

Student's grade entering fall 2009

Any allergies or medical conditions