Registration form

VBS 2009 Registration form

주손길장로교회 Joo Son Gil Prewbyterian Church
4444 Black Ave. Pleasanton, Ca 94588

http://joosongil-vbs-2009.blogspot.com/for updated VBS information

Date : July 24-25 (Fri-Sat) @ 9:30AM-3:30PM

1. student name: ___________________________

2. grades to be able to join (kinder-6th)grade (just completed) : ____________________

3. DOB: __________________________

4. Contact:Parents’ name: ______________________________________________________

Address : ___________________________________________________________

Home phone #: ________________________________________________________
Cell # : ___________________________________________________________

parents’ E-mail: ________________________________________________________

5. parent volunteersYou may serve the VBS as a volunteer for teaching and snacks. Let us know if you can. Thanks.

6. $50.00 registration fee

I, (parent’s name) _____________ release the VBS teachers from all liabilities and waive any claim against my child(ren)(students) ___________ during the VBS program.

Today’s Date: _____________________________

Parents’ signature ___________________________________________

완성한 신청서를 hong.hyunho@hotmail.com 으로 보내주세요.

홍현호 전도사: 510-914-1405