Please Fill Out the Information Below to Register Your Child
for "Rainforest Adventure: A Tree Top Bible Blast" at Christian
Worship Center of Natchitoches: June 2nd-6th.

Minor's Information

First Name    
Last Name    
Age
Sex Male Female
Home Church  


If your child is attending with a daycare:

Daycare Name 
Daycare Leader

Parent or Guardian Contact Information:

First Name
Last Name
Contact #   
Alternate #  
Primary Physician   
Physician Contact #

Person Responsible for Picking up this child at the end of each VBS day:

First Name
Last Name
Contact #   
Alternate #  

Please list below any allergies or current medications
the VBS staff should be aware of:

After you submit your form, there is one other document you will need to print out and bring in
the on the first day of VBS!  Click the link below, to download and print the form.

Thank you and God Bless!

*Minor Release Form

Christian Worship Center of Natchitoches
Copyright © 2008  All rights reserved.
Revised: 04/30/08