. shine for Jesus


Shine for Jesus VBS 2010
Parent Name
Address
Home Phone Number
Cell Phone Number
1 Childs Name
Age
Any Allergies?	yes no
Describe Allery
2 Childs Name
Age
Any Allergies?	yes no
Describe Allergy
3 Childs Name
Age
Any Allergies?	yes no
Describe Allergy
Can we contact you about helping wth VBS?	yes sorry I can't help this year
Do you belong to a local church?	yes no
Would you like information about the Church sent to you?	yes no