Monday, June 22, 2009 at 6:30 PM - Friday, June 26, 2009 at 8:30 PM (ET)
Genesis Baptist Church
Vacation Bible School
The Jesus Chronicles: A Life-Changing Encounter!”
Pre-registration Form
June 22-June 26, 2009
6:30-8:30 PM
Name ______________________________________________________________
Address _____________________________________________________________
Telephone # ________________________________________________________
Parents/Guardians ____________________________________________________
Emergency Contact –Name _____________________________________________
Emergency Contact-Telephone # ________________________________________
Class: Circle one
Nursery (2-4)
Preschool (4-5)
Primary (6-9)
Junior (10-12)
Teen (13-17)
Adult (18+)
Do you need transportation? Circle one. YES NO
Please call the church office to verify your name and address if you need transportation.
Will you volunteer? If YES, circle one. Teacher Asst. Teacher Another Area
Volunteers will meet on Saturday, June 6 and Saturday, June 20 from 10:00-11:00 AM—at Genesis.
Questions or concerns, call Sis. Fannie Bratcher, 336 392-9230
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