Vacation Bible School

July 16, July 20, 2007

9:00am-12:00pm

Children entering Grades K-5 in September 2007

(Please use one form for each child)

Childs Name ______________________________________________________________________________

Address __________________________________________________________________________________

Telephone _____________________________ Grade in September ____________________________________

Parent's Name ______________________________________________________________________________

Parent's work or cell phone number ___________________________________________________________

Emergency contact person (include name, address and phone number - this is important if parents can't be reached)

____________________________________________________________________________________________________________

Child's T-shirt size: (please circle) Children's 14-16            Adult small                Adult medium                Adult large       (shirts run small)

I hearby authorize the staff of St. MAry's Vacation Bible School to administer first aid and/or to arrange for emergency medical transportation for my child if I am unable to be contacted.

Parent's Signiture: ______________________________________________________________________________

This registration form must be signed and returned with $50. registration fee per child (made payable to St. MAry's Vacation Bible School) by May 31st. Mail to the following address.

Vacation Bible School

St. Mary's Religious Education Office

201 Main Street

Franklin MA 02038

508-528-1450