SplashZone 2008
Registration Form
Ages 4 through entering 6th grade
Send this form by
1) selecting the form, then copying it into an e-mail message to
karen@wabashpres.com, and filling it out.
or
2) printing this form, filling it out and mailing to:
Wabash Church, 18325 SE 384th, Auburn, WA 98092
or
3) printing this form, filling it out and bringing it to the Ministry Center on
Sunday.
| Parent/Guardian: | ||||
| Street Address: | ||||
| City: | State: | Zip Code: | ||
| Home Phone Number: ( ) | ||||
| Cell Phone: ( ) | ||||
| Email Address: | ||||
| Childs Name: | Male/Female | |||
| Date of Birth: | Age: | Grade Entering fall 2008: | ||
| Childs Name: | Male/Female | |||
| Date of Birth: | Age: | Grade Entering fall 2008: | ||
| Childs Name: | Male/Female | |||
| Date of Birth: | Age: | Grade Entering fall 2008: | ||
| Childs Name: | Male/Female | |||
| Date of Birth: | Age: | Grade Entering fall 2008: | ||
| Do you have a home church? Y N (Circle) | If yes, Church Name: | |||
| Friend your child might like to be with: | ||||
|
Allergies/medical/special conditions (that we need to be aware of
pertaining to your child's experience during the week): |
||||
| Emergency Contact Name: | ||||
| Phone: ( ) | Relationship: | |||
|
Are you available to be a parent volunteer? Yes No |
||||
| Are you interested in our adult VBS, Call of the Deep? Yes No | ||||
|
Items
Available for Purchase: |
||||
| CD | $6.00, 2 for $10.00 | |||
|
T-shirts |
$8.00 | |||
| XS 4-5 | ||||
| S 6-8 | ||||
| M 10-12 | ||||
| L 14-16 | ||||
| XL 18-20 | ||||
|
Celebration Sunday(July 20) Catered Lunch(s) |
$1.00 | |||
| Total | ||||