Saddle Ridge Ranch- VBS!
July 12 - 16, 2010
9:00am - 12:00pm

For kids who will have completed Kindergarten, 1st, 2nd, 3rd, 4th, or 5th grade


Registration Form: (please fill out one form for each child)
 
Child's Name: 
Birthday:  Age:  Completed Grade: 
Any Allergies? 
Special Needs? 
Any Medications? 


YOUR Name: Spouse Name: 
Would you like ALL your children on the same crew? (yes or no) 
Mailing Address: 
City:  State:  Zip: 
Phone #:  Cell #: 
E-Mail: 
Emergency Contact for your child: 
Emergency Contact #: 
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  Medical Release from Liability

I, , give permission for my child to attend VBS at Free Rider Fellowship, July 12 - 16. In the event of an emergency where medical treatment is required, and I or named contact cannot be reached by phone, I authorize the church staff sponsors, of this event, to obtain the services of a licensed physician.

 

Any questions/concerns, contact Becca Tussing at btussing@tampabay.rr.com