Vacation Bible School Hope OPC Vacation Bible School Registration: 8/4 - 8/8/2014 Please use this form to register your child(ren) ages 6 - 12 for VBS at Hope OPC Question Title * 1. Parent's Information Parent's Name Telephone Number Address Email Address Question Title * 2. Name(s) and Age(s) of Child/Children Child 1 Name Age Child 1 Child 2 Name Age Child 2 Child 3 Name Age Child 3 Child 4 Name Age Child 4 Child 5 Name Age Child 5 Child 6 Name Age Child 6 Question Title * 3. Please indicate any allergies/other concerns for your child(ren). Question Title * 4. Contact Information Contact Name During VBS Hours Contact Telephone Number During VBS Hours Alternate Contact Name During VBS Hours Alternate Contact Number During VBS Hours Question Title * 5. How did you hear about VBS at Hope? Yes No Postcard Postcard Yes Postcard No Signage Signage Yes Signage No Website Website Yes Website No Other (please specify) Thank you for registering. Someone from Hope OPC will be in contact with you to confirm. Next