LAKE MURRAY PRESBYTERIAN VACATION BIBLE SCHOOL- SHAKE IT UP (Kids Carrying Out God's Recipe) 7/18-21
SHAKE IT UP CAFE
Where Kids Carry Out God's Recipe
July 18-21
6-8 pm with light supper at
5:30 pm
Ages:
3 years as of 9/2010 through 5th
grade
Registration $5.00 per child
or $10 per family
T-shirts are an additional
$7.00
Please return the
registration form to the box outside fellowship hall
or the church
office by July 10.
Registration form (one per family)
Child’s Name __________________________ Age____ Grade completed_____
T-Shirt size ____ (indicate youth or adult)
Child’s Name ___________________________ Age____ Grade completed _____
T-Shirt size ____ (indicate youth or adult)
Child’s Name ___________________________ Age___ Grade completed______
T-Shirt size ____ (indicate youth or adult)
Parent(s) Name ___________________________ Home phone_________________
Address__________________________________ Cell phone___________________
Emergency contact (other than parents)_____________________________________
Relationship to child________________________ Phone ______________________
Other helpful information (including medical problems, allergies, activity restrictions, etc.) ________________________________________________________________
As legal guardian of this child/children, I give my
authorization and consent for him/her to participate in activities of LMPC and
in particular, any activities of the
If I cannot be reached, I agree that my child may be taken for medical assistance, and that I will be solely responsible for an and all costs incurred as a result. I further agree to
Indemnify and hold harmless Lake Murray Presbyterian Church and its representatives for any injury that occurs to my child which is not the result of action or inaction by the church or its representatives.
___________________________________ _______________________
Signature of parent/guardian Date
http://www.cokesburyvbs.com/shake-it-up-cafe/index.php