VBS 2009CreationCelebrationOnlineRegistration
Registrant Name
Address
City
State
Zip
Registrant Information
Phone (if registrant has one)
Email (if registrant has one)
Age
Date of Birth
School
School Grade Just Completed
Parent / Guardian Name
Parent / Guardian Information
Phone
Email
Please make sure you fill in all of the fields that are applicable to your registration. Fields marked with a red asterisk * must be filled in. When you are completed filling out the form, click on the "Submit VBS Registration" button located on the bottom of the page.
Emergency Contact Name
Relationship to Registrant
Emergency Contact Information
T-Shirt Size
Number of Extra Siblings that you are Registering
Names, Birthdays and T-Shirt Sizes of Additional Registrants
Fees
The fee for the 2009 Creation Celebration Vacation Bible School is: - $75.00 for a St. Mark congregation member - $85.00 for a non-member
If you are registering more than one child, the fee for the extra registrations will be: - $70.00 per extra child registered as a St. Mark congregation member - $80.00 per extra child registered as a non-member
For example, say you are a St. Mark member and you are registering 2 children. Your total fee would be $145.00 ($75.00 for the first child and $70.00 for the second child.
Please send payment no later than July 15, 2009. Registration is limited on a first-come basis. Payment can be dropped of at the Church office or mailed to: St. Mark Lutheran Church • 1120 Curlew Road • Dunedin, FL 34698
If you have any questions, please don't hesitate to contact Maryanne Kehlenbach at 727-733-0474