Cross Pointe Church of God |

Sunday school
9/5/2010
09:00AM

Worship service
9/5/2010
10:00AM

Children's Choir
9/8/2010
06:00PM-06:45PM

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VBS 2010
REGISTRATION FORM
August 2nd - 6th 6:00pm to 8:00pm
Ages 3 years old - 4th grade

Child's Name:                                                   Age:

Street Address:

City:                                                                State:             Zip:

Home Telephone:

Parent/Caregiver's Cell Phone:

Home Email Address:

Child's Date Of Birth:

Child's Grade In Fall 2010

In Case Of Emergency, Contact:

Mother's Name:

Father's Name:

Other:

Allergies Or Medical Conditions:

Home Church:

Team Assignment  (For Church Use Only):

NOTE: In order to register multiple children, you must return to the Homepage and click on the
registration link. That will refresh the online registration form. Thank you.

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