Registration form

VBS 2009 Registration form

San Jose Korean Prewbyterian Church

539 E. Weddell Dr. Sunnyvale, Ca 94089

http://vbs-2009-crocodile-dock-sjkpc.blogspot.com/ for updated VBS information

Date : June 17-19th (Wed-Fri) @ 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 volunteers
You 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 ___________________________________________