Jerusalem Marketplace Family Vacation Bible School

Registration Form July 27-31, 2008

Registration

Registration fee is $10 per child, up to a maximum of $30. There is no charge for registered adults.

CHILDREN

  

ADULTS
Name:   Age: Name:
Name:   Age: Name:
Name:   Age: Name:
Name:   Age: Name:
Name:   Age: Name:
Name:   Age: Name:

Please note: children 5 years and under must be accompanied by an adult.

Address:
City:   State:     Zip:
Phone:        E-mail:
Please include an email address so we can send you confirmation of your registration.

Emergency Contact

Name:   Phone:

Medical Information: Please list any allergies, medical conditions, or special needs

Meal Information

A light dinner will be available each evening at 5:15 pm.  The cost is $2.50 per person per evening.
Click here to view the menu (Word doc)

Select Days
Sunday # Attending:
Monday # Attending:
Tuesday # Attending:
Wednesday # Attending:
Thursday # Attending:

Jerusalem Marketplace Registration Total

Registration Fee: $
Food: $
Total: $
Please make checks payable to Mountain Ridge Community Church