Student Enrollment Form

Student’s Name________________________________________________________

School grade just completed _________     Birthdate_______________ Age________

                                                                                                    month-day-year

Parents’ Names _______________________________________________________

Address _____________________________________________________________  

Home Phone _________________________    Alternate Phone _________________

Emergency contact _____________________________________________________

Relationship to student __________________________________________________

Phone _______________________________    Alternate Phone__________________

Food allergies   Y    N   List:_________________________________________________

Medical concerns Y    N   Explain:____________________________________________

Brothers and sisters attending VBS (names and ages) _____________________________

________________________________________________________________________

______   I can provide transportation for ____ children       

______   I need transportation for my child

Family church _________________________________________________________

Brought by____________________________________________________________

“Greater love has no one than this, that someone lays down his life for his friends.

You are my friends.” John 15:13-14

V V V V V V V

Teacher/Helper Enrollment Form

Name___________________________________________________________________________________________

Address _________________________________________________________________________________________

Phone Number ___________________________________________________________________________________

E-mail address ___________________________________________________________________________________

                _______ I would like to serve as a teacher.     _________ I would like to serve as a helper.

                Please indicate any position with which you would be willing to help.

                Religion teacher 5th/6^th __________             Teacher Kdgn. ____________         Art teacher___________________

                Religion teacher 3rd/4^th __________             Teacher 4 year olds ________         Recreation teacher ____________

                Religion teacher 1st/2^nd __________             Teacher 3 year olds ________         Food preparation _____________

I can’t help or teach but would like to donate refreshments:  (please circle)

Fruit                     Veggies                  Cookies               Cheese             Crackers           Juice/Kool-Aid