The Cathedral Church of St. Luke, Orlando,Florida

VACATION BIBLE SCHOOL - 2008

Please complete one per child

CHILD's NAME:

AGE:

STREET ADDRESS:

CITY:

STATE:

ZIP:

HOME PHONE:

PARENT/CAREGIVER'S CELL PHONE:

HOME E-MAIL ADDRESS

DATE OF BIRTH:

YEAR:

LAST SCHOOL GRADE COMPLETED:

IN CASE OF EMERGENCY CONTACT:

MOTHER:

FATHER:

OTHER:

ALLERGIES OR OTHER MEDICAL CONDITIONS:

HOME CHURCH:

NAME OF A SPECIAL FRIEND YOUR CHILD MIGHT LIKE TO GO WITH:

LAB CREW NUMBER (FOR CHURCH USE ONLY)

_________________________

VBS 2008 Registration Fees

Cost is $20 per child with a sibling discount of $17.

Each child will receive a Power Lab VBS T-shirt and CD to bring home.

Please make checks payable to

The Cathedral Church of

St. Luke & mail to:

The Cathedral Church of St. Luke

Attention: Nicole Franco

130 N. Magnolia Ave.

Orlando, FL 32801

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