Welcome To
Christ Memorial Vacation Bible School


July 7 - 11, 2008
9:00 AM - 11:45 AM
3 Yrs - 5th grade (leaving the fifth grade in the Fall of 2008.

  Child Registration Form   
Cost: $10 per child
 

Please complete the form below and press Submit at the bottom of the form to register each child. Only fully completed forms will be processed. Once your form has been submitted, you will receive confirmation on the screen that your form has been sent to Children's Ministries.
 
NOTE: This form is only for children that will be three-years-old by June 1, 2008 through those leaving the fifth grade in the Fall of 2008.
Child's First Name:    *   Child's Gender:    *
Child's Last Name:    *   Grade last completed:    *
Address:    *
City:    *   Zip Code:    *
Home Phone:    *   Work Phone:  
Cell Phone:     Pager:  
Child's Birth Date:   // *   T Shirt Size:  
 
Parent/Guardian Name:    *
Parent Email Address:    *
     
Christ Memorial Member:   Yes    No  *          Other Church? (specify)

   Interested in more information about Christ Memorial Church?   Yes    No

   I am interested in volunteering before or during VBS. Please send me more information:  Yes    No
     

Who will drop off child?

    *   Phone  *

Who will pick up?

    *   Phone  *
     Place with (limit one):
     Note: Registrars will make every effort to accommodate this request, but reserve the right to break up crew mates if necessary
 
      Emergency contact person & phone:   *
 
      Pediatrician Name:  *     Pediatrician Phone:  *
 
      Medical Information/Intolerances/Allergies   (leave blank if None)
 

In case of emergency, I give my permission to the sponsoring adults of Christ Memorial Church's Vacation Bible School to make all health care decisions for my child that I could make myself if present. I also release Christ Memorial Church and all persons participating in the Children's Summer Programs from any and all liability. I understand that my child may be photographed or videotaped for use in Christ Memorial Church evangelism materials, including our Christ Memorial website. My submission of this form signifies my consent.

    

* indicates a required item

 

For more information about VBS,
please contact the Church Office
between 8:30 a.m. and 2:00 p.m. Monday - Friday:
             
    Church Office       281-497-0250

 

Please remember that the registration will be complete AFTER

a check for $10 per child is received by the church-

  1. Make Checks payable to CMLC

  2. Write the name of the child (or children) on  the check

  3. Mail the check to
    Christ Memorial Lutheran
    14200 Memorial Drive
    Houston Texas 77079

 

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