SonWorld Adventure Park Registration, VBS 2008

One form per child, please

Child's Name ___________________________________________

School Grade Just Completed _______________________

Birth Date_________________________ Age _____________

Street Address _______________________________________________________________

City _________________________________ State _________ Zip ____________________

Home Phone _____________________________________________

Cell Phone ______________________________________________

E-Mail __________________________________________________

Parent(s) Name(s) ___________________________________________________________

Parent(s) Work Phone(s) ______________________________________________________

In case of emergency, contact _____________________________________

Allergies or other medical conditions ___________________________________________

_________________________________________________________________________

Name of home church, if any_______________________________________