Beach Party

Surfin’ Through the Scriptures

VBS 2008

August 4th through August 8th

8:30 AM - 11:30 AM

Registration Fee : $15.00

Family Cap : $30.00

Name:_____________________________________Phone:________________________

Address:_________________________________________________________________

Birthday:_________________________________________________________________

Grade Completed: Please Circle One

Preschool Kindergarten First Second Third Fourth Fifth

Parent Name:______________________________________________________________

Phone Number:__________________________________Cell Phone:_________________

Emergency Contact:______________________________Phone Number:______________ * If you regularly check your email and would like to be contacted this way please provide us with your email address:___________________________________________________

Medical Information

Allergies / Medications / Medical Issues:_________________________________________

Physician Name and Number:_________________________________________________

Release: In the event that I cannot be reached in an emergency, I give the Vacation Bible School staff permission to seek emergency medical attention for my child.

_________________________________________________________________________

(Parent Signature)

Please consider assisting with one of the following tasks:

Painting sets ( 2 evenings in July)

Iron Decals onto T-Shirts

Daily Floater ( no preparation needed)

Group Guide

Story Teller

Games Leader

Snack assistants(set up/ clean up - mid-morning each day)

Photographer (film provided and developing cost covered)

Check-In person (8:10 - 8:40 am each morning)

THIS YEAR EACH SURFER WILL RECEIVE

A COMPLIMENTARY VBS T-SHIRT: PLEASE INDICATE SIZE:

CHILD __SM__MED__LG ADULT __SM __MED__LG

If you have any questions please call Pilgrim Congregational Church at 978-534-5164

Registration deadline July 7, 2008